Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XF0002X | Feeding, Eating & Swallowing | 6919 | MA |
N | 2251H1300X | Human Factors | 6919 | MA |
N | 225XH1300X | Human Factors | 6919 | MA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 6919 | MA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 6919 | MA |
NPI | 1124241732 |
---|---|
Provider Name | Mrs. Cassandra Adelia Crichlow |
First Address | Randolph, MA 02368-1769 |
Second Address | Randolph, MA 02368-1769 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 15/09/2014 |