Individual
MRS. AMBER RICHELE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4696 W OVERLAND RD STE 232, BOISE, ID 83705-2864
(208) 908-6116
Mailing address
1336 S EDGEWATER CIR APT 202, NAMPA, ID 83686-6283
(740) 424-3140
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1968
ID
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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