Individual
CRYSTAL WALRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2333 MANOR DR, BRYAN, TX 77802-1907
(979) 821-7327
Mailing address
2213 CARLISLE CT, COLLEGE STATION, TX 77845-8811
(979) 218-6791
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2055950
TX
Other
Enumeration date
07/11/2015
Last updated
07/11/2015
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