Individual
CRYSTAL HIBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13385 W MCDOWELL RD, GOODYEAR, AZ 85395-2631
(623) 986-5110
Mailing address
16 HAMILTON AVE, LEHIGH ACRES, FL 33936-1834
(484) 725-4774
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046826
AZ
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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