Individual
MR. BRANDON ANTONIO CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 CAHABA VILLAGE PLZ STE 240, MOUNTAIN BRK, AL 35243-5941
(205) 834-8140
Mailing address
112 17TH AVE NW, CENTER POINT, AL 35215-5502
(205) 305-2536
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4676
AL
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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