Individual
CARLYE CRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1764 TROY RD, WASHINGTON, IN 47501-8210
(812) 254-2750
Mailing address
10799 BAXTER CEMETERY RD, SHOALS, IN 47581-7734
(812) 709-2296
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000988A
IN
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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