Individual
NICOLE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10432 PATRIOT HWY, FREDERICKSBURG, VA 22408-2628
(540) 707-7074
Mailing address
10432 PATRIOT HWY, FREDERICKSBURG, VA 22408-2628
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602002
VA
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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