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NPI Code Detail

MEDICARE: DR. CATHERINE C CROWLEY OTD

MEDICARE: DR. CATHERINE C CROWLEY OTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistOT 6079CA

General Provider Information

NPI Number : 1013030394
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CATHERINE C CROWLEY OTD
Provider Business Mailing Address
First Line : 420 N ISABEL ST
Second Line :
City : GLENDALE
State : CA
Zip : 91206-3319
Country : US
Telephone Number : 818-545-0797
Fax Number :
Provider Business Practice Location Address
First Line : 6340 VARIEL AVE
Second Line : SUITE A
City : WOODLAND HILLS
State : CA
Zip : 91367-2514
Country : US
Telephone Number : 818-888-4559
Fax Number : 818-888-4005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 07/08/2007

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