Individual
KRYSTL ARMEN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
1609 E MADISON AVE, EL CAJON, CA 92019-1046
(619) 588-3166
(619) 579-4882
Mailing address
6780 MISSION GORGE RD, UNIT 31, SAN DIEGO, CA 92120-2400
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2228
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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