| NPI | 1770799371 |
|---|---|
| Former Name | CRYSTAL LYNNE STOLTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT12525) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC010173) |
| 225X00000X Occupational Therapist (Licence: MD 05993) | |
| 225X00000X Occupational Therapist (Licence: TX 112699) | |
| 225X00000X Occupational Therapist (Licence: GA OT005064) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-07-26 |