Individual provider · NPI-1

Crystal Baker, PTA

Physical Therapy Assistant · Richmond, VA

NPI number1043654858
StatusActive
Last updated in NPPESNov 30, 2015

Details

NPI
1043654858
Entity type
Individual (NPI-1)
Name
Crystal Baker
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 23, 2013
Last updated
Nov 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2306603222VAYes

Practice location

7306 Harlow Rd
Richmond, VA 23226-3833

Phone 480-522-6707

Mailing address

1610 Glenside Dr
Richmond, VA 23226-3764

Phone 480-235-3795

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