Individual
CECELIA RENEE CRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1 TREASURE HILL RD, LITTLE ROCK, AR 72205-2219
(501) 223-8996
(501) 801-0077
Mailing address
1 TREASURE HILL RD, LITTLE ROCK, AR 72205-2219
(501) 223-8996
(501) 801-0077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT613
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120758721
—
AR
01
—
56128
AR BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/14/2006
Last updated
05/10/2013
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