Individual provider · NPI-1
Casey Lynn Crothers, COTA
Community Health Worker · Glendale, AZ
NPI number1467887372
StatusActive
Last updated in NPPESSep 10, 2013
Details
- NPI
- 1467887372
- Entity type
- Individual (NPI-1)
- Name
- Ms. Casey Lynn Crothers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2013
- Last updated
- Sep 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | 1541 | MA | Yes |
| 172V00000X | Community Health Worker | 5550 | AZ | |
| 172V00000X | Community Health Worker | OTA00058 | MA |
Practice location
5155 N 74th DrGlendale, AZ 85303-6132
Phone 401-439-8683
Mailing address
5155 N 74th DrGlendale, AZ 85303-6132
Phone 401-439-8683
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