Individual
MRS. CRYSTAL CHARLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 WEST RIVER DR NE, BELMONT, MI 49306-8806
(267) 980-1221
Mailing address
5841 WEST RIVER DR NE, BELMONT, MI 49306-8806
(267) 980-1221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008947
PA
Other
Enumeration date
02/24/2007
Last updated
05/01/2012
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