Individual
WILLIAM MICHAEL CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 258-7518
Mailing address
13715 SE 17TH ST, BELLEVUE, WA 98005-4003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60365399
WA
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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