Individual
CRYSTAL JILL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
444 ONE ELEVEN PL, COOKEVILLE, TN 38506-4358
(931) 525-6655
Mailing address
870 SHADY OAK DR, COOKEVILLE, TN 38506-7735
(931) 260-0997
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1276
TN
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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