Individual
LANA GAIL CRENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
434 PAZA DR, MESQUITE, TX 75149-5107
(972) 288-6489
Mailing address
434 PAZA DR, MESQUITE, TX 75149-5107
(972) 288-6489
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202918
TX
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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