Individual
MRS. CRYSTAL LYNN BRAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
Mailing address
249 OXFORD CIRCLE, RICHMOND, KY 40475
(502) 680-0477
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
T4237
KY
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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