Individual
MS. SARA BETH CROPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003796-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470517
KMS (KSYSTEM PROGRAM FOR MEDICAID)
NY
Enumeration date
06/04/2010
Last updated
06/07/2010
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