Individual
CRYSTAL BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 LINCOLN AVE APT SUITE, EVANSVILLE, IN 47715-7390
(812) 461-1896
Mailing address
8739 NEW HARMONY RD, EVANSVILLE, IN 47720-8909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013821A
IN
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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