Individual
CRYSTAL PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1980 W 11TH ST, BROOKLYN, NY 11223-2443
(215) 740-9105
Mailing address
1980 W 11TH ST, BROOKLYN, NY 11223-2443
(215) 740-9105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015073
NY
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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