Individual
GRACE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2655 COMMONS BLVD, SUITE 120, BEAVERCREEK, OH 45431-3773
(937) 320-9131
(937) 320-9132
Mailing address
2655 COMMONS BLVD, SUITE 120, BEAVERCREEK, OH 45431-3773
(937) 320-9131
(937) 320-9132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.015530
OH
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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