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Search › Mississippi › 225200000X

Crystal Wall, PTA

NPI 1750046918 · on the registry since 2021

Practice

Address
117 Bo Bo Dr
Crystal Springs, MS 39059
Phone
(601) 892-6330
Fax
(601) 892-6331
Organisation at this address
Drayer Physical Therapy Mississippi Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi