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Individual

MRS. MILDRED CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
441 PINEY FOREST RD, SUITE G, DANVILLE, VA 24540-4154
(434) 793-0700
(434) 793-9315
Mailing address
441 PINEY FOREST RD, SUITE G, DANVILLED, VA 24540-4154
(434) 793-0700
(434) 793-9315

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305006802
VA

Other

Enumeration date
06/21/2006
Last updated
07/09/2007
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