Individual
CRYSTAL KUDRLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13102 CLIPPER DR, VICTORVILLE, CA 92395
(760) 900-5105
Mailing address
8006 SVL BOX, VICTORVILLE, CA 92395-5120
(760) 900-5105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14509
CA
Other
Enumeration date
10/30/2024
Last updated
04/09/2026
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