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Individual

KRYSTAL HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
315 E LINDSLEY RD, CEDAR GROVE, NJ 07009-1152
(973) 754-4801
Mailing address
315 E LINDSLEY RD, CEDAR GROVE, NJ 07009-1152

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015966
NY
225X00000X
Occupational Therapist
46TR00482100
NJ
314000000X
Skilled Nursing Facility
46TR00482100
NJ

Other

Enumeration date
01/12/2009
Last updated
01/29/2019
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