Individual
CRYSTAL TOMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4609 WOODWAY DR, KERNERSVILLE, NC 27284-5503
(336) 423-6491
Mailing address
4609 WOODWAY DR, KERNERSVILLE, NC 27284-5503
(336) 423-6491
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5393
NC
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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