Individual
CASSIDY JEAN CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
111 N BAILEY ST, PRYOR, OK 74361-4201
(918) 824-7770
Mailing address
15591 E 430 RD, CLAREMORE, OK 74017-0477
(918) 640-4310
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6251
OK
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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