Klanese Krystal Hatley, COTA/L
NPI #1750837316 in T Or C, New Mexico
Provider Information
- NPI Number
- 1750837316
- Entity Type
- Individual
- Name
- Klanese Krystal Hatley, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Sep 1, 2016
Practice Location
- Address
- 180 N. DATE STREET
- City
- T Or C
- State
- New Mexico
- ZIP Code
- 87901
- Phone
- (575) 894-8372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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