Individual
SAMUEL CRICKENBERGER
Active
Individual
SAMUEL CRICKENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61016320
WA
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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