Individual
LYNETTE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1650 SMART RD, LUCAS, OH 44843-9709
(419) 892-1166
Mailing address
1650 SMART RD, LUCAS, OH 44843-9709
(419) 892-1166
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.09993
OH
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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