Individual
MRS. MYRA MARIE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5509 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46220-3023
(317) 726-0277
(317) 872-3234
Mailing address
5509 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46220-3023
(317) 726-0277
(317) 872-3234
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003383A
IN
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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