Individual
MRS. BREANNA RENE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1129 NE 12TH ST, BEND, OR 97701-4413
(541) 728-3559
(541) 241-3903
Mailing address
1129 NE 12TH ST, BEND, OR 97701-4413
(541) 728-3559
(541) 241-3903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6040
OR
Other
Enumeration date
08/21/2009
Last updated
10/26/2020
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