Individual
NANNETTE CRYSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
920 AVENUE B, MARRERO, LA 70072-3112
(504) 349-6804
(504) 349-6844
Mailing address
920 AVENUE B, MARRERO, LA 70072-3112
(504) 349-6804
(504) 349-6844
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8192
LA
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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