Individual
CRYSTAL SUZANNE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
720 N LINCOLN ST, GREENSBURG, IN 47240-1327
(812) 663-1252
(812) 663-1275
Mailing address
720 N LINCOLN ST, GREENSBURG, IN 47240-1327
(812) 663-1252
(812) 663-1275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004578A
IN
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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