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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CRYSTAL NICHOLS CLARK, LPTA

Active

CRYSTAL NICHOLS CLARK, LPTA is a Occupational Therapist healthcare provider located in RUSTBURG, Virginia. NPI 1104155480 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · RUSTBURG, VA

Registration Details

NPI Number
1104155480
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2009 (16.479104390439 yrs)
Last Updated
Dec 15, 2009
License
2306001767 (VA)

Practice Information

Address
4968 BETHANY RD
RUSTBURG, VA, 245883693
Browse VA providers · Browse ZIP 24588
Phone
4348453554
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in RUSTBURG, VA

Name Credential NPI
MS. VALLERIE BURNELL LPTA 1043489180
MRS. COURTNEY AYERS LPTA 1053793554
TORI L DELLIS LPTA 1073281788
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.