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Individual

MARIAH BROOKE CROSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
834 PROSPECT ST APT C, IONIA, MI 48846-1366
(616) 477-8846

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008439
MI

Other

Enumeration date
11/23/2018
Last updated
11/23/2018
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