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Crystal J Anderson, OT

Occupational Therapist in Woodruff, WI. Individual provider (NPI-1).

NPI number1053494534
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1053494534
Entity type
Individual (NPI-1)
Name
Crystal J Anderson
Credential
OT
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist4166-026WIYes

Practice location

240 Maple Street
Woodruff, WI 54568-0470

Phone 715-356-8000

Mailing address

240 Maple Street
Po Box 240
Woodruff, WI 54568-0470

Phone 715-356-8000

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