Individual
MARIAH MICHELLE CRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W BURKHART ST, MOBERLY, MO 65270-3402
(660) 269-2600
Mailing address
102 W BURKHART ST, MOBERLY, MO 65270-3402
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2022047518
MO
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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