Individual
CRYSTAL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 BACKMEADOWS LN, MARION, VA 24354-6475
(800) 330-7711
Mailing address
474 BACKMEADOWS LN, MARION, VA 24354-6475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006522
VA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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