Crystal Ann Balthazor COTA

NPI 1588969802 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1588969802
Gender Female
Enumeration Date 01/18/2011
Last Updated 01/18/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1035 SE 3RD ST
NEWTON KS, 67114-3904, US
Phone (316) 283-6600
Fax (316) 283-6375
Business Location
1035 SE 3RD ST
NEWTON KS, 67114-3904, US
Phone (316) 283-6600
Fax (316) 283-6375
Toxanomy
Taxonomy Code 224Z00000X
License State Kansas
License Number 18-00729
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According to our database, Crystal Ann Balthazor COTA NPI is 1588969802, taxonomy code is 224Z00000X and license number is 18-00729, license state is located at Kansas. Crystal Ann Balthazor COTA physically located at 1035 Se 3rd St, Newton KS, 67114-3904. NPI Number Crystal Ann Balthazor COTA has the Individual type.

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1588969802 NPI number is provided on an as is basis without warranty of any kind. 1588969802 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Ann Balthazor COTA are for informational purposes only.