Individual
MS. DENISE E CRISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2600 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
(937) 342-5600
Mailing address
2829 WALNUT GROVE LN, SPRINGFIELD, OH 45504-4355
(937) 390-0710
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 002663
OH
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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