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Individual

CRYSTAL D CASSITY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.R.L.

Contact information

Practice address
4123 DUTCHMANS LN STE 301, LOUISVILLE, KY 40207-4721
(502) 896-2500
(502) 598-2527
Mailing address
P.O. BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
131113
KY

Other

Enumeration date
04/10/2007
Last updated
07/24/2017
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