Individual
KRYSTLE A POMFRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10235 STATE ROUTE 88, GARRETTSVILLE, OH 44231-9205
(330) 527-4336
Mailing address
4172 MAIN ST, PERRY, OH 44081-9626
(440) 983-1685
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008406
OH
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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