Individual
MS. CRYSTAL ANN CONSALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63015038
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63015038
OCCUPATIONAL THERAPIST NY LICENSE NUMBER
NY
Enumeration date
02/02/2011
Last updated
02/02/2011
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