| NPI | 1073701793 |
|---|---|
| Former Name | CRYSTAL CHAUNTEL GUNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 26951) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT8071) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2018-07-27 |