Individual
CRAIG SECOR
Active
Individual
CRAIG SECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208154
VA
2251G0304X
Geriatric Physical Therapist
2305208154
VA
2251S0007X
Sports Physical Therapist
2305208154
VA
2251X0800X
Orthopedic Physical Therapist
2305208154
VA
Other
Enumeration date
01/13/2020
Last updated
09/06/2023
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