Individual
CRYSTAL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
860 HIGHWAY 62 E STE 10, MOUNTAIN HOME, AR 72653-3200
(870) 424-2224
(870) 424-0493
Mailing address
860 HIGHWAY 62 E STE 10, MOUNTAIN HOME, AR 72653-3200
(870) 424-2224
(870) 424-0493
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2003008006
MO
225200000X
Physical Therapy Assistant
Primary
PTA 4104
AR
Other
Enumeration date
06/02/2008
Last updated
08/08/2016
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