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Individual

CRYSTAL LESHAYE WORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
4045A N 11TH ST, MILWAUKEE, WI 53209-7005
(414) 366-0904
Mailing address
4045A N 11TH ST, MILWAUKEE, WI 53209-7005
(414) 366-0904

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
496127
WI

Other

Enumeration date
04/22/2013
Last updated
04/22/2013
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