Individual
GREGORY J. CRECELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
820 E CENTER ST, BLANCHESTER, OH 45107-1310
(937) 783-3874
(937) 783-4951
Mailing address
820 E CENTER ST, BLANCHESTER, OH 45107-1310
(937) 783-3874
(937) 783-4951
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA. 02748
OH
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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