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1750046918
CRYSTAL W WALL
CRYSTAL SPRINGS, MS
NPI
1750046918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA5277)
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
CRYSTAL W WALL PTA
117 BO BO DR
CRYSTAL SPRINGS, MS 39059-2741
Phone number: 601-892-6330
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Mailing Address
CRYSTAL W WALL PTA
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-206-4158
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