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Individual

BERNADETTE CROMPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
266 EAGLEVIEW BLVD, EXTON, PA 19341-1157
(610) 524-1019
(610) 524-4125
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10002373
DE
225100000X
Physical Therapist
Primary
PT019883
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265692255
CHAMPUS TRICARE
05
1265692255
DE
01
3534246000
AMERIHEALTH IBC
01
5070-0105
GHMSI
01
94266201
CARE FIRST
Enumeration date
06/12/2008
Last updated
05/16/2012
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