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Individual

MRS. JULIE WATTENBERG- CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.P.T., D.P.T.

Contact information

Practice address
13909 BRIAR LN, PLAINFIELD, IL 60544-7563
(690) 319-3872
(815) 733-6573
Mailing address
13909 BRIAR LN, PLAINFIELD, IL 60544-7563
(690) 319-3872
(815) 733-6573

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070-012852
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02232772
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/14/2006
Last updated
05/13/2025
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