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Individual

MRS. KRISTA JOY CROSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
180 BURLEY RD, ROCHESTER, NY 14612-5708
(585) 957-2927
Mailing address
180 BURLEY RD, ROCHESTER, NY 14612-5708
(585) 957-2927

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006654-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
429770693-8
HEALTHCARE PROVIDERS SERVICE - CERTIFICATE OF INSURANCE
NY
Enumeration date
04/06/2011
Last updated
04/06/2011
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