| NPI | 1952343667 |
|---|---|
| Former Name | CRYSTAL URATA LABRADOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT294483) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 129195) |
| 225100000X Physical Therapist (Licence: TX 1152481) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2024-02-01 |