Individual
MR. ELDON WAYNE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1406 E PUSHMATAHA ST, BUTLER, AL 36904-2728
(205) 459-2394
Mailing address
3331 SUMMIT BLVD, APT 100, PENSACOLA, FL 32503-8300
(906) 360-5967
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2716
AL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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