Individual
ALICE JEAN CRAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2700 VINE STREET, EL DORADO, AR 71730-6700
(870) 864-0086
Mailing address
2700 VINE ST, EL DORADO, AR 71730-6700
(870) 864-0086
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT593
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156614721
—
AR
Enumeration date
09/15/2005
Last updated
11/16/2010
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