Individual
CORAL K CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1205B W GREEN OAKS BLVD, ARLINGTON, TX 76013-8301
(817) 457-3088
Mailing address
2001 ADEN RD APT 55, FORT WORTH, TX 76116-1930
(210) 846-9315
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
120551
TX
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
120551
TX
225XP0200X
Pediatric Occupational Therapist
Primary
120551
TX
Other
Enumeration date
01/26/2020
Last updated
01/26/2020
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