Crystal Lee PTA

NPI 1194984534 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1194984534
Gender Female
Enumeration Date 06/02/2008
Last Updated 06/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1707 W ELFINDALE ST
SPRINGFIELD MO, 65807-1246, US
Phone (417) 865-6876
Fax
Business Location
1707 W ELFINDALE ST
SPRINGFIELD MO, 65807-1246, US
Phone (417) 865-6876
Fax
Toxanomy
Taxonomy Code 225200000X
License State Missouri
License Number 2003008006
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According to our database, Crystal Lee PTA NPI is 1194984534, taxonomy code is 225200000X and license number is 2003008006, license state is located at Missouri. Crystal Lee PTA physically located at 1707 W Elfindale St, Springfield MO, 65807-1246. NPI Number Crystal Lee PTA has the Individual type.

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1194984534 NPI number is provided on an as is basis without warranty of any kind. 1194984534 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Lee PTA are for informational purposes only.