Individual
CRYSTAL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7306 HARLOW RD, RICHMOND, VA 23226-3833
(480) 522-6707
Mailing address
1610 GLENSIDE DR, RICHMOND, VA 23226-3764
(480) 235-3795
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603222
VA
Other
Enumeration date
04/23/2013
Last updated
11/30/2015
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