Individual
CIARA CRYSTAL PUETX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
70 KUKUK LN, KINGSTON, NY 12401-6943
(845) 336-2616
Mailing address
70 KUKUK LN, KINGSTON, NY 12401-6943
(845) 336-2616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011677-01
NY
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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