Individual
CRYSTAL D BIEBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1114 W 11TH ST, LARNED, KS 67550-1939
(615) 896-6400
Mailing address
1209 VAN BUREN ST, GREAT BEND, KS 67530-4250
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800448
KS
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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