Individual
KRYSTA ANN GRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, COTA/L
Contact information
Practice address
3260 TILLMAN DR STE 117, BENSALEM, PA 19020-2058
(267) 332-2989
Mailing address
6521 CAROLINE AVE, PENNSAUKEN, NJ 08109-1441
(609) 680-6004
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009745
PA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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