Crystal Lee Krisko, OTR/L

NPI #1588160311 in Broadlands, Virginia

Provider Information

NPI Number: 1588160311
Entity Type: Individual
Name: Crystal Lee Krisko, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Apr 2, 2018
Last Updated: Apr 2, 2018

Practice Location

Address: 21000 EDUCATION CT
City: Broadlands
State: Virginia
ZIP Code: 20148-5526
Phone: (703) 431-3289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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