Individual
CRAIG CARVIN
Active
Individual
CRAIG CARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005493L
PA
2251S0007X
Sports Physical Therapist
PT005493L
PA
2251X0800X
Orthopedic Physical Therapist
PT005493L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052130
ORTHONET
PA
01
—
01345801
BLUE CROSS
PA
01
—
088295
MEDICARE
PA
01
—
4608845
AETNA
PA
01
—
467798
PERSONAL CHOICE
PA
Enumeration date
09/23/2005
Last updated
07/31/2009
Update your record
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