Individual
CRYSTAL PACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 WASHINGTON LN STE 101, WYNCOTE, PA 19095-1625
(215) 277-7495
Mailing address
460 IVY ST, WARMINSTER, PA 18974-4717
(908) 590-2891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC021250
PA
225XP0200X
Pediatric Occupational Therapist
Primary
—
PA
Other
Enumeration date
06/24/2026
Last updated
07/02/2026
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