Individual
CRYSTAL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1930 E 12TH ST, CASPER, WY 82601-4075
(307) 554-7861
Mailing address
2965 E TARPON DR STE 150, MERIDIAN, ID 83642-9007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
863
WY
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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