Individual
MRS. CRYSTAL NICOLE-MARIE WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5411 W. CINNABAR AVE., GLENDALE, AZ 85302
(602) 367-9311
Mailing address
5411 W CINNABAR AVE, GLENDALE, AZ 85302-2219
(602) 367-9311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10283APTA
AZ
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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