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Individual

CRYSTAL TOUCHSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1010 W MAIN, HENDERSON, TX 75652
(903) 657-6945
(309) 657-6945
Mailing address
1010 W MAIN, HENDERSON, TX 75604
(903) 657-6945
(903) 657-6945

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2063928
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2063928
LICENSE
TX
Enumeration date
05/16/2008
Last updated
05/16/2008
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