Individual
CRYSTAL HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13806 N 46TH ST, TAMPA, FL 33613-4921
(813) 977-4214
Mailing address
3427 99TH ST E, PALMETTO, FL 34221-8009
(941) 807-9036
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25160
FL
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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