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Individual

CAROLINE GRACE CRILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
11940 CAROLINA PLACE PKWY STE 200, PINEVILLE, NC 28134-7471
(704) 541-9080
Mailing address
8 GROVE ST, ROCHESTER, NY 14605-2813
(585) 764-2198

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
025604
NY
225X00000X
Occupational Therapist
Primary
17132
NC

Other

Enumeration date
04/27/2021
Last updated
09/19/2024
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