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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATIE DANIELLE CRUM, COTA

Active

KATIE DANIELLE CRUM, COTA is a 224ZF0002X healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1790252013 is currently active in the NPPES registry. Verify at CMS.

224ZF0002X · LAKE HAVASU CITY, AZ

Registration Details

NPI Number
1790252013
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2018 (7.771432387996 yrs)
Last Updated
Oct 24, 2018
License
OTA046672 (AZ)

Practice Information

Address
1515 LAKE HAVASU AVE N
LAKE HAVASU CITY, AZ, 864041177
Browse AZ providers · Browse ZIP 86404
Phone
9288545439
Primary Specialty
224ZF0002X
224ZF0002X
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.