Individual
CRYSTAL DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
78 OPAL ST, CARTERSVILLE, GA 30120-2848
(770) 382-6120
Mailing address
165 JAKEVILLE AVE, SUMMERVILLE, GA 30747-1227
(706) 728-0590
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002111
GA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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