Individual
MR. JUSTIN B CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
1000 FRIENDSHIP RD, TALLASSEE, AL 36078-1265
(334) 283-8032
(334) 283-1136
Mailing address
1000 FRIENDSHIP RD, TALLASSEE, AL 36078-1265
(334) 283-8032
(334) 283-1136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4404
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11507998
CAQH
—
01
—
51531618
BLUE CROSS BLUE SHIELD
AL
01
—
7981728
AETNA
AL
01
—
Q57152
UPIN
AL
Enumeration date
06/21/2006
Last updated
07/08/2007
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