| NPI | 1740706068 |
|---|---|
| Former Name | CRYSTAL COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60829761) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT16512) |
| 225X00000X Occupational Therapist (Licence: NC 11211) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-01-03 |