Individual
GRACE FLORENCE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1154 E HAWKINS PKWY, LONGVIEW, TX 75605-7975
(903) 663-2750
Mailing address
1855 SWINGING BRIDGE RD, LONGVIEW, TX 75604-5686
(903) 918-1264
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2120972
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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