Individual
CORAL K CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
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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