Individual
MS. NANCY E CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00779
MO
2251P0200X
Pediatric Physical Therapist
Primary
00779
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483093738
—
MO
Enumeration date
02/22/2007
Last updated
05/19/2008
Update your record
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