Crystal Marie Gault, MS, OTR/L is a
Specialist/technologist - Athletic Trainer based in Baltimore, Maryland. Crystal Marie Gault is licensed to practice in Maryland (license number 06223) and her current practice location is
200 E North Ave, Baltimore, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 396-8900.
NPI number for Crystal Marie Gault is 1538306816 and her current mailing address is 200 E North Ave, Related Services Rm. 211, Baltimore, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538306816.
Healthcare Provider's Profile
| Full Name | Crystal Marie Gault |
|---|
| Gender | Female |
|---|
| Speciality | Specialist/technologist - Athletic Trainer |
|---|
| Location | 200 E North Ave, Baltimore, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538306816
- Provider Enumeration Date: 01/08/2009
- Last Update Date: 08/28/2019
Medical Identifiers
Medical identifiers for Crystal Marie Gault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1538306816 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225XP0200X | Occupational Therapist - Pediatrics | 06223 (Maryland) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 06223 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Marie Gault is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Crystal Marie Gault, MS, OTR/L 200 E North Ave, Related Services Rm. 211, Baltimore, MD 21202 Ph: () - | Crystal Marie Gault, MS, OTR/L 200 E North Ave, Baltimore, MD 21202-4888 Ph: (410) 396-8900 |
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