Individual
CRYSTAL DAWN VIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 847-9747
(540) 371-3753
Mailing address
600 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 847-9747
(540) 371-3753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204750
VA
Other
Enumeration date
09/23/2010
Last updated
01/22/2020
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