Individual
DERIK ROBERT CRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
509 PEACH ST APT 5, ERIE, PA 16501-1130
(304) 481-7887
Mailing address
300 57TH STREET, VIENNA, WV 26105
(304) 481-7887
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/21/2016
Last updated
07/21/2022
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