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

MRS. CRYSTAL ELIZABETH TANGORRA, OTR/L

Active Sole Proprietor

MRS. CRYSTAL ELIZABETH TANGORRA, OTR/L is a Pediatric Occupational Therapist healthcare provider located in PHOENIX, New York. NPI 1851536635 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · PHOENIX, NY

Registration Details

NPI Number
1851536635
Provider Type
Individual
Gender
Female
NPI Issued
Dec 9, 2008 (17.534730460138 yrs)
Last Updated
Dec 9, 2008
License
007337-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
9171 TANWOOD CIR
PHOENIX, NY, 131353050
Browse NY providers · Browse ZIP 13135
Phone
3159344046
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in PHOENIX, NY

Name Credential NPI
BETH JORDAN OTD, MSOTR 1407091713
NICOLE GILONA MS, OTR/L 1417506981
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.