Individual
KRYSTAL DAWN ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
313 POPLAR ST, LOOGOOTEE, IN 47553-2423
(812) 295-4433
Mailing address
930 S CHERRY ST, HUNTINGBURG, IN 47542-9492
(812) 683-2084
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003106A
IN
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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