Individual
CRYSTAL CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT OTR/L
Contact information
Practice address
940 VANGUARD DR, RED HILL, PA 18076-1491
(267) 280-7333
Mailing address
940 VANGUARD DR, RED HILL, PA 18076-1491
(267) 280-7333
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OC013968
PA
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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