Individual
CRYSTAL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5540
Mailing address
10A KINGS CT, CAMILLUS, NY 13031-1750
(432) 530-5628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013286
NY
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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