Individual
MS. CRYSTAL BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8265 HOGAN RD, JACKSONVILLE, FL 32216
(904) 240-8766
Mailing address
8265 HOGAN RD, JACKSONVILLE, FL 32216
(904) 240-8766
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 13877
FL
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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