Individual
COURTNEY ANNE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
170 N KINGS RD, ORMOND BEACH, FL 32174-5118
(386) 677-7955
Mailing address
720 W RIVER OAK DR, ORMOND BEACH, FL 32174-4642
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 11351
FL
225XG0600X
Gerontology Occupational Therapist
OT 11351
FL
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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