Individual
CRYSTAL BETH LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1102 WINKLER AVE, KILLEEN, TX 76542-6249
(254) 634-8505
(254) 519-3477
Mailing address
401 TERAVISTA PKWY APT 821, ROUND ROCK, TX 78665-1296
(325) 864-3633
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1180006
TX
Other
Enumeration date
01/09/2008
Last updated
02/27/2008
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