Individual
BRADLEY CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
116 WALNUT ST, ATHENS, PA 18810-1735
(570) 888-0057
Mailing address
115 CENTRAL AVENUE 2FL, ATHENS, PA 18810
(570) 979-6799
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI006256
PA
Other
Enumeration date
02/25/2020
Last updated
05/12/2023
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