Provider Demographics
NPI:1124038039
Name:THOMAS-MCGEE, CRYSTAL DANIELLE (DPT, CSCS)
Entity type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:DANIELLE
Last Name:THOMAS-MCGEE
Suffix:
Gender:F
Credentials:DPT, CSCS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-956-3065
Mailing Address - Fax:856-959-3379
Practice Address - Street 1:570 EGG HARBOR RD STE C3
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2359
Practice Address - Country:US
Practice Address - Phone:856-956-3065
Practice Address - Fax:856-959-3379
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02184800225100000X
NY027131-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ21F7QA561Medicare PIN