Individual
CRYSTAL ANNE CRITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2560 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 994-7864
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 206-4158
(717) 773-4654
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
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