Individual
CRYSTAL CHERIE GADDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 LONGVIEW DR, FRANKLIN, KY 42134-1560
(270) 528-1893
Mailing address
424 LONGVIEW DR, FRANKLIN, KY 42134-1560
(270) 528-1893
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
137188
KY
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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