Individual
KATELYN RAE CROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
67169
MI
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/23/2017
Last updated
05/04/2017
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