Provider Demographics
NPI:1083740302
Name:CROLL, JANICE LEE (OTR)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:LEE
Last Name:CROLL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9097 E DESERT COVE AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6710
Mailing Address - Country:US
Mailing Address - Phone:480-860-4298
Mailing Address - Fax:480-860-4298
Practice Address - Street 1:9305 W THOMAS RD
Practice Address - Street 2:SUITE 150
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3328
Practice Address - Country:US
Practice Address - Phone:623-889-0411
Practice Address - Fax:623-889-0410
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2013-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ0455225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist