Individual
MAURA C CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
25320 LAKE MIST SQ UNIT 204, CHANTILLY, VA 20152-5353
(704) 241-0505
Mailing address
25320 LAKE MIST SQ UNIT 204, CHANTILLY, VA 20152-5353
(704) 241-0505
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002788
VA
224Z00000X
Occupational Therapy Assistant
12549
NC
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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