Individual
DORIS MEGAN CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1633 HILLVIEW DR, ELIZABETHTON, TN 37643-4115
(423) 542-4133
Mailing address
1633 HILLVIEW DR, ELIZABETHTON, TN 37643-4115
(423) 542-4133
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2097
TN
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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