Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 687 | ND |
N | 2251E1200X | Ergonomics | 687 | ND |
N | 225XE1200X | Ergonomics | 687 | ND |
N | 225XH1200X | Occupational Therapist - Hand | 687 | ND |
NPI | 1760416374 |
---|---|
Provider Name | Cheryl B Crowe |
First Address | Fargo, ND 58108-6001 |
Second Address | Fargo, ND 58103-6132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 23/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
18210 | NDBS # (01) | ND |
21954 | NDBS # (01) | ND |
51602 | (05) | ND |
60G80CR | MNBS # (01) | ND |
6401675 | MEDICA # (01) | ND |
6402287 | MEDICA # (01) | ND |
6403824 | MEDICA # (01) | ND |
70D29CR | MNBS # (01) | ND |
974267 | AMERICA'S PPO/ARAZ # (01) | ND |
DA9011015523 | PREFERRED ONE # (01) | ND |
HP33434 | HEALTHPARTNERS # (01) | ND |
S81051 | (02) | ND |