Individual
MRS. CRYSTAL ANN PROFAIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1715 HITCHING POST DR, GREEN RIVER, WY 82935-5783
(307) 352-6871
(307) 352-6873
Mailing address
1715 HITCHING POST DR, GREEN RIVER, WY 82935-5783
(307) 352-6871
(307) 352-6873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT813
WY
Other
Enumeration date
03/22/2006
Last updated
03/06/2017
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