Individual
KELLY LOUISE CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22 SARASOTA CENTER BLVD, SARASOTA, FL 34240-9770
(941) 377-9361
Mailing address
2730 BLOSSOM DR, SARASOTA, FL 34239-4713
(941) 780-0892
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21346
FL
Other
Enumeration date
11/04/2020
Last updated
12/14/2020
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