Individual
MS. JANA SUE CREEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,ACT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0057
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5830350
—
SD
Enumeration date
05/12/2006
Last updated
08/18/2010
Update your record
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