Individual
MRS. TAMMY S CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
930 S MAIN ST, BLACKSTONE, VA 23824-2614
(434) 292-4268
(434) 292-7406
Mailing address
720 THE GROVE RD, BLACKSTONE, VA 23824-4032
(434) 294-1558
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000139
VA
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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