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Individual

CHLOE JENELLE CROWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
4130 DUTCHMANS LN STE 101, LOUISVILLE, KY 40207-4708
(502) 897-1794
(502) 897-3852
Mailing address
4130 DUTCHMANS LN STE 101, LOUISVILLE, KY 40207-4708
(502) 897-1794
(502) 897-3852

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
264167
KY
225X00000X
Occupational Therapist
Primary
31007294A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300063836
IN
05
7100725750
KY
Enumeration date
11/17/2020
Last updated
08/07/2023
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