Individual
VAN CREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 WILD ROSE CV, AUSTIN, AR 72007-9130
(501) 605-7007
Mailing address
146 WILD ROSE CV, AUSTIN, AR 72007-9130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1134
AR
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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