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Individual

CRYSTAL TALLENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
815 TRIPLETT ST, OWENSBORO, KY 42303-3564
(270) 683-4517
Mailing address
1712 FAWN DR, OWENSBORO, KY 42303-1842
(270) 314-7480

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4041
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100335870
KY
Enumeration date
09/10/2010
Last updated
10/18/2024
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