Individual
SHARON CROSSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2474 E JOYCE BLVD, STE 2, FAYETTEVILLE, AR 72703-4519
(479) 521-5326
(479) 521-5429
Mailing address
2474 E JOYCE BLVD, STE 2, FAYETTEVILLE, AR 72703-4519
(479) 521-5326
(479) 521-5429
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR239
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W238
BLUE CROSS BLUE SHIELD PR
AR
Enumeration date
01/09/2007
Last updated
07/08/2007
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