Individual
STEVEN MICHAEL CRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 OTTAWA ST, JOHNSTOWN, PA 15904-2337
(814) 266-8621
Mailing address
622 RAILROAD ST, SOUTH FORK, PA 15956-1237
(814) 288-9676
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012103
PA
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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