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Organization

PRACTICAL VIEW OT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL REID BALTZ MS, OTR/L (OWNER)
(203) 273-0052
Entity
Organization

Contact information

Practice address
105 STRATFORD RD, MOORE, SC 29369-9342
(203) 273-0052
Mailing address
105 STRATFORD RD, MOORE, SC 29369-9342
(203) 273-0052

Taxonomy

Speciality
Code
Description
License number
State
225XL0004X
Low Vision Occupational Therapist
Primary

Other

Enumeration date
09/29/2022
Last updated
11/01/2022
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