Individual
TANA CRUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
909 GORMAN AVE, ELKINS, WV 26241-4109
(304) 637-3630
Mailing address
909 GORMAN AVE, ELKINS, WV 26241-4109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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