| NPI | 1770823833 |
|---|---|
| Former Name | CRYSTAL SEBALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 06296) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC015564) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2018-03-17 |