Crystal Larae Wilson
Crystal Larae Wilson is a Physical Therapy Assistant in Fort Walton Beach, Florida. Licensed in Florida. Registered with an NPI since 2021.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
1110 Hospital Rd Bldg BFort Walton Beach, FL 32547-6742
Phone: (850) 863-8129
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Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA28027 (FL) |
|---|
Record details
| NPI number | 1316530157 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 12, 2021 |
| Last updated in NPPES | February 12, 2021 |
| Certification date | February 12, 2021 |
| Mailing address | 2062 Ortega St, Navarre, FL 32566-2178 |
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