Individual
KELLY C CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
(601) 250-6859
Mailing address
901 OWEN CT, MADISON, MS 39110-7384
(601) 605-1584
(601) 607-7715
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1587
MS
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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