Provider Demographics
NPI:1386043669
Name:CRIM, KATHLEEN SUSAN (OCCUPATIONAL THERAPI)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:SUSAN
Last Name:CRIM
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
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Mailing Address - Street 1:5700 SHEPARD ROAD
Mailing Address - Street 2:
Mailing Address - City:ASHTABULAR
Mailing Address - State:OH
Mailing Address - Zip Code:44004
Mailing Address - Country:US
Mailing Address - Phone:440-992-0163
Mailing Address - Fax:440-228-1607
Practice Address - Street 1:42 SOUTH CHESTNUT STREET
Practice Address - Street 2:JEFFERSON REHAB AND WELLNESS
Practice Address - City:JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:44047
Practice Address - Country:US
Practice Address - Phone:440-576-0043
Practice Address - Fax:440-576-0187
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHOT-005575225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist