Individual
CARLA CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
1043 CURTIS AVE, PETOSKEY, MI 49770-2811
(231) 838-4606
Mailing address
1043 CURTIS AVE, PETOSKEY, MI 49770-2811
(231) 838-4606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/21/2018
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