# MRS. CRYSTAL LYNN STEPHEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396080545
- **Gender:** F
- **Credential:** MOT, OTR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 31005266A | IN | Yes |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | 31005266A | IN | — |

## Other

- **Enumeration date:** 11/28/2012
- **Last updated:** 11/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100273840 | — | IN |