Individual
MS. CASEY LYNN CROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5155 N 74TH DR, GLENDALE, AZ 85303-6132
(401) 439-8683
Mailing address
5155 N 74TH DR, GLENDALE, AZ 85303-6132
(401) 439-8683
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1541
MA
172V00000X
Community Health Worker
5550
AZ
172V00000X
Community Health Worker
OTA00058
MA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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