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 |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 200 E North Ave, Baltimore, Maryland |
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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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