Individual
MRS. ALICIA VICTORIA CROUCH-KOZLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4604 PLEASANT GROVE RD, WAXHAW, NC 28173-8132
(803) 487-2434
Mailing address
4604 PLEASANT GROVE RD, WAXHAW, NC 28173-8132
(803) 487-2434
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3079
SC
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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