Individual
CRYSTAL RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7 HIGHWOOD ST, WATERVILLE, ME 04901-5739
(207) 873-0705
Mailing address
171 FRENCH HILL RD, SOLON, ME 04979-3114
(207) 399-8488
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA5213
ME
Other
Enumeration date
12/01/2018
Last updated
12/01/2018
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