Individual
LAURA CRITCHLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
752 W 19TH ST, JASPER, IN 47546-9576
(812) 639-9248
Mailing address
752 W 19TH ST, JASPER, IN 47546-9576
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005863A
IN
Other
Enumeration date
05/03/2015
Last updated
05/03/2015
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