Individual
LAURA JILL CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1400 N LOCUST ST, DENTON, TX 76201-3040
(940) 383-2721
Mailing address
1400 N LOCUST ST, DENTON, TX 76201-3040
(940) 383-2721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109699
TX
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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