Individual
CRYSTAL STUBBLFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 E GREENVILLE ST, ANDERSON, SC 29621-2004
(864) 226-8356
Mailing address
18 SOUTHWOOD DR, GREENVILLE, SC 29605-5915
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2945
SC
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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