Individual
ELIZABETH IVY MCCRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3806 CLAYTON RD, CONCORD, CA 94521-2516
(901) 409-9370
Mailing address
8818 RED MAPLE CV, GERMANTOWN, TN 38139-6540
(901) 409-9370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
113632
TX
225X00000X
Occupational Therapist
Primary
12853
CA
225X00000X
Occupational Therapist
3322
CO
225X00000X
Occupational Therapist
4374
TN
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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