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Contact Information

CRYSTAL A BALTHAZOR, COTA
1035 SE 3RD ST
NEWTON, KS67114-3904
 Phone: 316-283-6600
 Fax: 316-283-6375
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for CRYSTAL A BALTHAZOR · (Female)

NPI # 1588969802
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 01/18/2011
Last updated 01/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 18-00729
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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