Individual
ASHLEY CROOKE TRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
115 KIANA CT, PADUCAH, KY 42001-6787
(270) 534-1200
Mailing address
602 FOUNTAIN AVE, PADUCAH, KY 42001-7016
(270) 577-5824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
270838
KY
Other
Enumeration date
07/23/2021
Last updated
12/21/2021
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