Individual
CHRYSTAL LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14409 GREENVIEW DR STE 102, LAUREL, MD 20708-4213
(301) 498-8100
(301) 498-0009
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03163
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03163
MARYLAND BOARD OF OCCUPATIONAL THERAPY PRACTICE
MD
Enumeration date
03/20/2019
Last updated
03/20/2019
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