CRYSTAL D BEDFORD

TUCKER, GA
NPI1336122456
Former NameCRYSTAL D SHAW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OH  OT006250)
Enumeration Date2005-11-22
Last Update Date2009-04-30
Business Address
-- CRYSTAL D BEDFORD OT
1979 LAKESIDE PKWY STE 800
TUCKER, GA 30084-5935
Phone number: 770-325-0310
Mailing Address
-- CRYSTAL D BEDFORD OT
1979 LAKESIDE PKWY STE 800
TUCKER, GA 30084-5935
Phone number: 770-325-0310
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