Individual
REBECCA JOY CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6239 S EAST ST, INDIANAPOLIS, IN 46227-2090
(317) 791-9031
Mailing address
6239 S EAST ST, INDIANAPOLIS, IN 46227-2090
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006053A
IN
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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