Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLIE CREQUE, COTA/L
Active Sole ProprietorCARLIE CREQUE, COTA/L is a Occupational Therapy Assistant healthcare provider located in JENERA, Ohio. NPI 1023417862 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · JENERA, OH
Registration Details
- NPI Number
- 1023417862
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 18, 2014 (12.007148815106 yrs)
- Last Updated
- Aug 18, 2014
- License
-
OTA.05815 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8577 TOWNSHIP ROAD 32JENERA, OH, 458418908Browse OH providers · Browse ZIP 45841
- Phone
- 4197219033
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.