Individual
CRYSTAL ANNE CRITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5583
OK
225100000X
Physical Therapist
PT 27487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT274870
BLUE SHIELD
CA
01
—
72157585392277A008
TRICARE
CA
05
—
PT0274870
—
CA
Enumeration date
01/30/2007
Last updated
07/26/2022
Update your record
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