Most Relevant Information
Provider Data
| NPI Number: | 1003440330 |
| Provider Name: | ILONA CROWDER COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 5202006073 |
Most Important Dates
| Enumeration Date: | 02/25/2020 |
| Last Updated: | 02/25/2020 |
Provider Practice Location
1 GENESYS PKWY
GRAND BLANC
MI
484398065
Practice Location Phone/Fax
| Phone: | 8772524469 |
| Fax: |
Provider Mailing Location
3347 GEORGE ANN CT
CLIO
MI
484201911
Provider Mailing Phone/Fax
| Phone: | 8102231690 |
| Fax: |