Individual
TERRY LEROY CRUICKSHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
122 SUNNYHILL DR, SOUDERTON, PA 18964-1155
(215) 703-5717
(215) 723-2742
Mailing address
7 SARATOGA DR, COLLEGEVILLE, PA 19426-2744
(484) 744-2205
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000194
PA
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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