Provider Demographics
NPI:1861790610
Name:CASMIRRI, CRYSTAL E (DPT)
Entity type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:E
Last Name:CASMIRRI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 CRUM CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WOODLYN
Mailing Address - State:PA
Mailing Address - Zip Code:19094-1907
Mailing Address - Country:US
Mailing Address - Phone:267-250-4846
Mailing Address - Fax:
Practice Address - Street 1:174 CRUM CREEK DR
Practice Address - Street 2:
Practice Address - City:WOODLYN
Practice Address - State:PA
Practice Address - Zip Code:19094-1907
Practice Address - Country:US
Practice Address - Phone:267-250-4846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020677225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist