Individual
BRENDA CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 MARKET ST, APT 21, POTSDAM, NY 13676-1790
(315) 857-1657
Mailing address
100 MARKET ST, APT 21, POTSDAM, NY 13676-1790
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0020271
NY
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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