Individual
KRYSTAL TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 FRANKLIN ST APT 2, RANDOLPH, VT 05060-1178
(802) 431-3331
Mailing address
4 FRANKLIN ST APT 2, RANDOLPH, VT 05060-1178
(802) 431-3331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
72.0087327
VT
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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