Individual
CHRISTOPHER CRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
613 MISTY HARBOUR CT, MISHAWAKA, IN 46544-4153
(574) 742-0093
Mailing address
613 MISTY HARBOUR CT, MISHAWAKA, IN 46544-4153
(574) 742-0093
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001945A
IN
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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