Individual
LISA DAWN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
15745 DORA AVE STE B, TAVARES, FL 32778-4943
(352) 357-8358
Mailing address
41733 ROYAL TRAILS RD, EUSTIS, FL 32736-8153
(352) 589-0788
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23289
FL
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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