| NPI | 1902280209 |
|---|---|
| Former Name | CRYSTAL NICOLE TROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 019814-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 0198141) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2020-01-24 |