Individual
CRISTY LYNN ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DI
Contact information
Practice address
3086 PINE TOP RD, LONDON, KY 40741-9247
(606) 813-0265
(606) 877-9712
Mailing address
3086 PINE TOP RD, LONDON, KY 40741-9247
(606) 813-0265
(606) 877-9712
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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