Individual
CRYSTAL DAWN MINIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 MEDICAL CENTER DR, HARLAN, KY 40831-0014
(606) 573-7250
Mailing address
200 MEDICAL CENTER DR, HARLAN, KY 40831-0014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134388
KY
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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