Individual
KELLY ANNE CRUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 864-6695
(888) 830-3233
Mailing address
113 TEAL CT, SHEPHERDSVILLE, KY 40165-7346
(502) 710-1812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
175140
KY
Other
Enumeration date
01/03/2018
Last updated
04/14/2020
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