Healthcare Provider Details

I. General information

NPI: 1588580740
Provider Name (Legal Business Name): CRYSTAL PACO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 WASHINGTON LN STE 101
WYNCOTE PA
19095-1625
US

IV. Provider business mailing address

460 IVY ST
WARMINSTER PA
18974-4717
US

V. Phone/Fax

Practice location:
  • Phone: 215-277-7495
  • Fax:
Mailing address:
  • Phone: 908-590-2891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: