Individual
CRYSTAL RENEA CORL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1008 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(570) 398-4747
Mailing address
43 RAMSEY HOLLOW RD, BEECH CREEK, PA 16822-7320
(570) 962-2068
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001477L
PA
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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