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NPI Code Detail

MEDICARE: CHELSEA STANDIFER CRENSHAW M.S., O.T.R./L.

MEDICARE: CHELSEA STANDIFER CRENSHAW M.S., O.T.R./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
1225X00000XOccupational Therapist3404AL

General Provider Information

NPI Number : 1851650204
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA STANDIFER CRENSHAW M.S., O.T.R./L.
Provider Business Mailing Address
First Line : 3140 CAHABA HEIGHTS RD STE 102
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-5243
Country : US
Telephone Number : 205-969-8080
Fax Number : 205-969-4884
Provider Business Practice Location Address
First Line : 3140 CAHABA HEIGHTS RD STE 102
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-5243
Country : US
Telephone Number : 205-969-8080
Fax Number : 205-969-4884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2012
Last Update Date : 01/20/2016

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