Individual
KRYSTA LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26210 HARPER AVE, SAINT CLAIR SHORES, MI 48081-2203
(888) 485-8636
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
10/11/2024
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