Individual
CRYSTAL ANN BALTHAZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1035 SE 3RD ST, NEWTON, KS 67114-3904
(316) 283-6600
(316) 283-6375
Mailing address
1035 SE 3RD ST, NEWTON, KS 67114-3904
(316) 283-6600
(316) 283-6375
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00729
KS
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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