Individual
JACQUELYN MARIE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2397 GARRETT LN APT E, JACKSON, MO 63755-2451
(716) 560-9877
(573) 472-0409
Mailing address
2397 GARRETT LN APT E, JACKSON, MO 63755-2451
(716) 560-9877
(573) 472-0409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011037084
MO
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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