Individual
CRYSTAL MICHELLE STULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
74 MURILLO WAY, HOT SPRINGS VILLAGE, AR 71909-5509
(501) 730-2042
Mailing address
74 MURILLO WAY, HOT SPRINGS VILLAGE, AR 71909-5509
(501) 730-2042
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2172
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167726721
—
AR
Enumeration date
06/14/2008
Last updated
08/08/2016
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