Individual
MARISSA CRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 STRAHL ST, FRANKLIN, TN 37064-3556
(615) 791-1103
Mailing address
3722 BURRUS ST, NASHVILLE, TN 37216-2630
(605) 354-5269
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
PENDING
TN
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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