Individual
MR. JONATHAN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
892 E USA CIR STE 108, WASILLA, AK 99654-7106
(907) 357-1818
Mailing address
1160 N IROQUOIS DR, WASILLA, AK 99654-6702
(941) 730-3541
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
218481
AK
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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