Individual
CRYSTAL BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CROWN POINTE BLVD, WILLOW PARK, TX 76087-1160
(504) 559-3679
Mailing address
2010 OLD FOUNDRY RD, WEATHERFORD, TX 76087-2159
(504) 559-3679
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211835
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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