Individual
MS. CRYSTAL L DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2986 ROUNDTREE BLVD, YPSILANTI, MI 48197-4811
(810) 624-2630
Mailing address
605 E REID RD APT 12, GRAND BLANC, MI 48439-2203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008124
MI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/15/2018
Last updated
09/20/2024
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