Individual
CRYSTAL CHRISTINE LEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/C
Contact information
Practice address
17801 IMPERIAL HWY, YORBA LINDA, CA 92886-2362
(714) 777-9666
(714) 961-5483
Mailing address
1600 W BROADWAY, #1C, ANAHEIM, CA 92802-1114
(818) 667-6889
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1561
CA
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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