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Individual
SEAN CRANDELL
Active
Individual
SEAN CRANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT028338
PA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31115871
PENNDOT
PA
Enumeration date
08/30/2016
Last updated
10/20/2020
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