Individual
CRAIG MATTHEW ENRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
(574) 970-1374
Mailing address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
(574) 970-1374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006255A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05006255A
INDIANA STATE LICENSE
IN
Enumeration date
01/08/2008
Last updated
01/08/2008
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