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Individual

CRYSTAL WORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10049 E DYNAMITE BLVD, SUITE 110, SCOTTSDALE, AZ 85262-3694
(480) 419-0848
Mailing address
1111 W SUMMIT PL, UNIT 80, CHANDLER, AZ 85224-1300
(480) 318-2983

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
379376
AZ

Other

Enumeration date
03/17/2017
Last updated
03/17/2017
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