Individual
MRS. DONNA HOWARD CROTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-5535
(423) 224-5544
Mailing address
6674 HIGHWAY 91 N, LAUREL BLOOMERY, TN 37680-4002
(423) 727-6678
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 1321
TN
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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