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Individual

CRYSTAL WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2171 W EXECUTIVE DR STE 500, ADDISON, IL 60101-5626
(630) 766-0505
Mailing address
6402 S JUSTINE ST, 11732 S RACINE, CHICAGO, IL 60636-2824
(773) 981-8093

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
160006227
IL

Other

Enumeration date
11/09/2012
Last updated
11/09/2012
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