Individual
THERESA ANN CROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
604 MORGAN ST, JACKSON, MO 63755-1266
(573) 243-5337
Mailing address
604 MORGAN ST, JACKSON, MO 63755-1266
(573) 243-5337
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003029026
MO
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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