Individual
MRS. JORDAN GRACE CRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1350 S GUTENSOHN, STE 10, SPRINGDALE, AR 72762-5117
(479) 751-7122
(479) 751-7292
Mailing address
1350 S GUTENSOHN, STE 10, SPRINGDALE, AR 72762-5117
(479) 751-7122
(479) 751-7292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4498
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131922742
—
AR
Enumeration date
08/14/2018
Last updated
02/19/2019
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