Most Relevant Information
Provider Data
| NPI Number: | 1003645110 |
| Provider Name: | CRYSTAL HART |
| Entity Type: | Individual |
| Taxonomy Code: | 335E00000X |
| Specialty: | Prosthetic/Orthotic Supplier |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/29/2024 |
| Last Updated: | 07/29/2024 |
Provider Practice Location
3290 NEW GETWELL RD STE 108
MEMPHIS
TN
381183744
Practice Location Phone/Fax
| Phone: | 9018715576 |
| Fax: |
Provider Mailing Location
3290 NEW GETWELL RD STE 108
MEMPHIS
TN
381183744
Provider Mailing Phone/Fax
| Phone: | 9018715576 |
| Fax: |