Individual
CRISTAL JASMIN REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 S MAIN ST, HINESVILLE, GA 31313-4312
(912) 368-4131
Mailing address
451 ARCHIE WAY NE, LUDOWICI, GA 31316-7774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008022
GA
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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