Individual
CRYSTAL J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3 PARK DR, WESTFORD, MA 01886-3511
(978) 392-1144
Mailing address
3 PARK DR, WESTFORD, MA 01886-3511
(978) 392-1144
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3140
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802563210
UNITED HEALTHCARE
—
Enumeration date
09/18/2008
Last updated
09/18/2008
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