Individual
BRITTANY NICOLE CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 18TH ST, CHARLESTON, IL 61920-2382
(217) 345-7054
Mailing address
1069 W STATE ST, CHARLESTON, IL 61920-1066
(217) 294-1437
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009958
IL
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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