Individual
CRYSTAL M MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 LINDEN STREET, C/O PHYSICAL THERAPY SERVICES OF BRATTLEBORO INC, BRATTLEBORO, VT 05301
(802) 254-4699
(802) 257-1985
Mailing address
56 LINDEN STREET, C/O PHYSICAL THERAPY SERVICES OF BRATTLEBORO INC, BRATTLEBORO, VT 05301
(802) 254-4699
(802) 257-1985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-0000034
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00029512
BLUE CROSS BLUE SHIELD
VT
05
—
1009942
—
VT
Enumeration date
08/13/2006
Last updated
07/08/2007
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