Crystal D Bedford, OT

NPI #1336122456 in Tucker, Georgia

Provider Information

NPI Number: 1336122456
Entity Type: Individual
Name: Crystal D Bedford, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Nov 22, 2005
Last Updated: Apr 30, 2009

Practice Location

Address: 1979 LAKESIDE PKWY
Address 2: STE 800
City: Tucker
State: Georgia
ZIP Code: 30084-5935
Phone: (770) 325-0310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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