Individual
CRYSTAL REID-BALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
105 STRATFORD RD, MOORE, SC 29369-9342
(203) 273-0052
Mailing address
105 STRATFORD RD, MOORE, SC 29369-9342
(203) 273-0052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4573
SC
Other
Enumeration date
03/07/2018
Last updated
02/20/2023
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