Individual
DR. CRYSTAL JILNEA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12725 STONE VILLAGE WAY, MIDLOTHIAN, VA 23113-2722
(804) 245-8430
Mailing address
4319 MARTHA LN, RICHMOND, VA 23234-2568
(202) 664-2864
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603900
VA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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