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Individual

ALEXIS CROCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
128 GARNER RD, SPARTANBURG, SC 29303-3149
(864) 591-3484
Mailing address
536 ASBURY NEELY WAY, ROEBUCK, SC 29376-3354

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17148
NC
225X00000X
Occupational Therapist
Primary
7337
SC

Other

Enumeration date
09/06/2024
Last updated
04/17/2025
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