Individual
CHARLES CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 ABELE DR, CLIFTON PARK, NY 12065-2951
(518) 371-1400
Mailing address
146 COUNTRY VW, ARLINGTON, VT 05250-8817
(802) 375-6997
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012397
NY
Other
Enumeration date
02/01/2020
Last updated
02/03/2020
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