Individual
MARY GRACE CRENSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
425 HOSPITAL DR STE 6A, COLUMBUS, MS 39705-1901
(662) 570-8388
Mailing address
425 HOSPITAL DR STE 6A, COLUMBUS, MS 39705-1901
(662) 570-8388
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA3544
MS
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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