Individual
LAINE CATHLEEN CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4640 WEDGEWOOD BLVD, FREDERICK, MD 21703-7114
(240) 457-9558
Mailing address
2642 WARREN WAY, FREDERICK, MD 21701-3288
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08678
MD
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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