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Individual

DANIEL CRENSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2982 HIGHWAY K, O FALLON, MO 63368-7861
(636) 978-9235
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
(616) 356-5000
(616) 356-5001

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016020779
MO

Other

Enumeration date
06/11/2021
Last updated
06/11/2021
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