Search › Pennsylvania › 207NS0135X
Crystal St. Fort, NP
NPI 1871341073 · on the registry since 2024 · sole proprietor
Practice
- Address
- 142 S 60th St Unit A
Philadelphia, PA 19139 - Phone
- (215) 495-5846
Registry record
- Primary taxonomy
- 207NS0135X
207NS0135X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-11
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 Pennsylvania