Individual
COURTNEY LILLIAN CRUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5420 FRUITWOOD DR, LOUISVILLE, KY 40272-4916
(502) 609-0149
Mailing address
5420 FRUITWOOD DR, LOUISVILLE, KY 40272-4916
(502) 609-0149
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
BOTOTA00222629
KY
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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