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Individual

MR. DAN WILLIAM CROUCH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MOT

Contact information

Practice address
11228 MILITARY CLUB RD, KANSAS CITY, MO 64138-3621
(816) 358-8614
Mailing address
412 W 8TH ST, KANSAS CITY, MO 64105-2273
(816) 221-4618

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001015288
MO

Other

Enumeration date
04/21/2006
Last updated
07/08/2007
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