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Individual

MRS. ANGIE G CROWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Contact information

Practice address
1601 SHORTCUT HWY, SUITE B, SLIDELL, LA 70458-8047
(985) 641-3818
(985) 641-3891
Mailing address
1601 SHORTCUT HWY, SUITE B, SLIDELL, LA 70458-8047
(985) 641-3818
(985) 641-3891

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
Z12066
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTT.Z12066
STATE LICENSE
LA
Enumeration date
08/13/2006
Last updated
07/08/2007
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