Individual
MICAELA CRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 W CENTENNIAL AVE, CARTHAGE, MO 64836-2816
(417) 359-7000
Mailing address
2901 S WALL AVE, JOPLIN, MO 64804-2672
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2024000859
MO
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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