Thomas, Crystal Rene

Thomas, Crystal Rene is an sole proprietor health care provider with primary practice located at 144 W Los Angeles Ave Ste 110, Moorpark CA 93021-1898. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as her primary health care specialty. Thomas, Crystal Rene can be contacted via phone (805) 552-1915.

Contact Information

Primary practice address
144 W Los Angeles Ave Ste 110 Moorpark CA 93021-1898
Phone: (805) 552-1915
Fax: (805) 552-1991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT32707 California

Profile Details

NPI number 1861664377
LBN Legal business name Thomas, Crystal Rene
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2008
Last updated Apr 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861664377 NPPES
California Other PT32707 PT LICENSE

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