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NPI Code Detail

MEDICARE: DANIELLE MARIE CROUSE MS, OTR/L

MEDICARE:   DANIELLE MARIE CROUSE  MS, OTR/L
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
1225XP0200XPediatric Occupational TherapistOC012855PA
2225XP0200XPediatric Occupational TherapistOT007840OH

General Provider Information

NPI Number : 1275971673
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MARIE CROUSE MS, OTR/L
Provider Business Mailing Address
First Line : 38720 SALTWELL RD
Second Line :
City : LISBON
State : OH
Zip : 44432-8303
Country : US
Telephone Number : 330-424-9591
Fax Number :
Provider Business Practice Location Address
First Line : 38720 SALTWELL RD
Second Line :
City : LISBON
State : OH
Zip : 44432-8303
Country : US
Telephone Number : 330-424-9591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2013
Last Update Date : 04/13/2017

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Directions to “ DANIELLE MARIE CROUSE MS, OTR/L” Practice Location

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