Organization
MUSTARD SEEDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL D TURNER OTR (OCCUPATIONAL THERAPIST)
(817) 541-7770
Entity
Organization
Contact information
Practice address
212 N. OAK STREET, ROANOKE, TX 76262
(817) 541-7770
Mailing address
212 N. OAK STREET, ROANOKE, TX 76262
(817) 541-7770
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
107888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107888
OCCUPATIONAL THERAPY LICENSE NUMBER
TX
Enumeration date
04/24/2014
Last updated
04/24/2014
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