Individual
SAMANTHA CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1630 101ST AVE NE STE 140, BLAINE, MN 55449-3401
(763) 703-3509
Mailing address
7198 KITTREDGE CV, OTSEGO, MN 55301-4727
(763) 360-0810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11044
MN
Other
Enumeration date
06/18/2018
Last updated
06/09/2021
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