Individual
COURTNEY C CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1601 LAWRENCE DR STE 100, DE PERE, WI 54115-3931
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
118462
TX
225X00000X
Occupational Therapist
Primary
5633-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043684
—
WI
Enumeration date
03/25/2015
Last updated
05/23/2024
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