KRYSTAL VERMILLION

IRMO, SC
NPI1609248327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  4639)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: OH  OT.009107)
Enumeration Date2015-10-21
Last Update Date2015-11-06
Business Address
KRYSTAL VERMILLION MOT, OTR/L
108 BELFAIR RD
IRMO, SC 29063-8040
Phone number: 803-738-6144
Mailing Address
KRYSTAL VERMILLION MOT, OTR/L
PO BOX 4107
IRMO, SC 29063-4027
Phone number: