CRYSTAL NICHOLS CLARK

RUSTBURG, VA
NPI1104155480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306001767)
Enumeration Date2009-12-15
Last Update Date2009-12-15
Business Address
-- CRYSTAL NICHOLS CLARK LPTA
4968 BETHANY RD
RUSTBURG, VA 24588-3693
Phone number: 434-845-3554
Mailing Address
-- CRYSTAL NICHOLS CLARK LPTA
4968 BETHANY RD
RUSTBURG, VA 24588-3693
Phone number:
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