Individual
GRACE SAMANTHA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
185 TILLEY DR, SOUTH BURLINGTON, VT 05403-4484
(802) 879-1703
Mailing address
19 HIGHWOOD TER, GLEN ROCK, NJ 07452-1512
(551) 804-8077
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0134045
VT
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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