Individual
MR. MICHAEL LEE CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
227 RUSSELL BLVD, NACOGDOCHES, TX 75965-1238
(828) 360-4294
Mailing address
227 RUSSELL BLVD, NACOGDOCHES, TX 75965-1238
(828) 360-4294
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0769
WY
225200000X
Physical Therapy Assistant
Primary
2085053
TX
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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