Individual
MS. LAURA ANN CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
50 N MALIN RD, BROOMALL, PA 19008-1429
(610) 356-4305
Mailing address
539 DARBY RD, RIDLEY PARK, PA 19078-1316
(610) 583-5355
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005898
PA
Other
Enumeration date
03/19/2007
Last updated
09/16/2009
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