Individual
PARISH LAKENZIE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 847-1637
(480) 456-0163
Mailing address
9430 E JAN AVE, MESA, AZ 85209-7006
(865) 803-7679
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009270
AZ
225XP0200X
Pediatric Occupational Therapist
OTH-009270
AZ
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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