Individual
CRYSTAL FAYE SONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 KEYLON ST, MANCHESTER, TN 37355-2413
(931) 461-3425
Mailing address
6612 NEW TOWN RD, COLLEGE GROVE, TN 37046-8804
(629) 215-2756
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6467
TN
Other
Enumeration date
02/26/2018
Last updated
03/17/2018
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