Individual
MRS. KRYSTAL LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
725 S PINE ST, SEBRING, FL 33870-3654
(863) 385-0161
Mailing address
4008 FONSECA AVE, SEBRING, FL 33872-2348
(863) 253-1015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12873
FL
Other
Enumeration date
09/19/2012
Last updated
07/02/2019
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