Individual
CHRYSTY DELAYNE STURDIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 535-7751
Mailing address
4332 SOMERVILLE AVE, DALLAS, TX 75206-5442
(214) 535-7751
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
101774
TX
Other
Enumeration date
12/08/2019
Last updated
12/08/2019
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