Individual
CRYSTLE TAIYO KEARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1675 EAGLE HARBOR PKWY, ORANGE PARK, FL 32003-4802
(904) 637-0148
Mailing address
1675 EAGLE HARBOR PKWY STE B, ORANGE PARK, FL 32003-4802
(904) 637-0148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30362
FL
Other
Enumeration date
08/24/2015
Last updated
01/29/2018
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