Individual
ERICKA M. CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5240 SNAPFINGER PARK DR, SUITE 130, DECATUR, GA 30035-4059
(770) 322-7003
(770) 322-7630
Mailing address
4470 IVY FORK DR, LOGANVILLE, GA 30052-5836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007827
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52072310-009
BCBS OF GA
GA
Enumeration date
07/05/2006
Last updated
07/08/2007
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