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Individual

CRYSTAL HAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
64 DANBURY RD STE 100, WILTON, CT 06897-4438
(800) 278-0332
(800) 970-5001
Mailing address
64 DANBURY RD STE 100, WILTON, CT 06897-4438
(800) 278-0332
(800) 970-5001

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
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