Individual
KRYSTAL NICOLE SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, QMHP-C
Contact information
Practice address
927 N MAIN ST, MARION, VA 24354-4117
(276) 783-7529
Mailing address
5124 SUGAR GROVE HWY, SUGAR GROVE, VA 24375-3140
(276) 685-3546
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002528
VA
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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