Individual
CRYSTAL IRENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 CARRINGTON AVE, CAPITOL HEIGHTS, MD 20743-1846
(240) 988-4329
Mailing address
801 CARRINGTON AVE, CAPITOL HEIGHTS, MD 20743-1846
(240) 988-4329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205226
VA
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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