Individual
JONATHAN ROBERT CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1903 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3916
(336) 718-6700
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P14601
NC
Other
Enumeration date
06/09/2020
Last updated
06/14/2021
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