Wall, Crystal W

Wall, Crystal W is an individual health care provider with primary practice located at 117 Bo Bo Dr , Crystal Springs MS 39059-2741. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wall, Crystal W can be contacted via phone (601) 892-6330.

Contact Information

Primary practice address
117 Bo Bo Dr Crystal Springs MS 39059-2741
Phone: (601) 892-6330
Fax: (601) 892-6331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA5277 Mississippi

Profile Details

NPI number 1750046918
LBN Legal business name Wall, Crystal W
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2021
Last updated Nov 3rd, 2021 - about 4 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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