Individual
MISS CRYSTAL ANNE BALUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 927-4251
Mailing address
PO BOX 310, 1710 ROUTE 114, NORTH SUTTON, NH 03260
(603) 927-4251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2048
NH
Other
Enumeration date
04/29/2011
Last updated
11/05/2020
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