IndividualActive
Carol Crutcher-Dubose, COTA/L
NPI 1932332749 · Occupational Therapy Assistant · Jackson, GA
Provider details
- NPI number
- 1932332749
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- OTA001506 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
922 Mcdonough Rd
Jackson, GA 30233-1522
Phone: (214) 551-4855
Approximate (ZIP-level) locationGet directions
Mailing address
922 Mcdonough Rd
Jackson, GA 30233-1522
Registry dates
- Enumerated
- 2009-08-26
- Last updated
- 2014-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.