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Coral Crouch, OTR
NPI 1770113094 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1205b W Green Oaks Blvd
Arlington, TX 76013 - Phone
- (817) 457-3088
- Organisation at this address
- Shine Behavioral Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225XP0200X
225XP0200X
- Also registered as
- 2080P0006X
225XF0002X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas