Individual
KAITLIN CROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
27821 STATE HIGHWAY 181 UNIT 1702, DAPHNE, AL 36526-8669
(318) 355-0454
Mailing address
27821 STATE HIGHWAY 181 UNIT 1702, DAPHNE, AL 36526-8669
(318) 355-0454
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4670
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
N/A
MA
Enumeration date
05/31/2021
Last updated
05/31/2021
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