Individual
JASON CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(740) 395-8801
(740) 395-8819
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 395-8805
(740) 439-5885
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
AT001304
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT001304
OHIO LICENSE
OH
Enumeration date
11/17/2006
Last updated
03/17/2011
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