Individual
CRYSTAL HAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1229
NV
224Z00000X
Occupational Therapy Assistant
Primary
212601
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041937
NBCOT CERTIFICATION
MD
01
—
1229
OCCUPATIONAL THERAPY ASSISTANT LICENSE
NV
01
—
212601
OCCUPATIONAL THERAPY ASSISTANT LICENSE
TX
Enumeration date
02/04/2015
Last updated
02/04/2015
Update your record
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