Individual
MISS CRYSTAL ANN STUECKRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7540 N 19TH AVE, STE 200, PHOENIX, AZ 85021-7967
(888) 266-2686
Mailing address
3111 COLLEGE ST APT 25, GRAND ISLAND, NE 68803-1714
(402) 360-4330
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
690
NE
Other
Enumeration date
01/20/2008
Last updated
01/20/2008
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