Individual
MRS. KRYSTAL DANIELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6830 W 121ST CT, OVERLAND PARK, KS 66209-2021
(913) 239-8777
(913) 239-0268
Mailing address
6830 W 121ST CT, OVERLAND PARK, KS 66209-2021
(913) 239-8777
(913) 239-0268
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
336086
KS
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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