Individual
KRYSTAL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
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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