Individual
MRS. KRYSTAL RENEE EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2051
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160499721
—
AR
01
—
5Y915
BLUE CROSS BLUE SHIELD
AR
Enumeration date
12/07/2006
Last updated
06/01/2021
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