Individual
CLINTON DWAYNE CRAWFORD
Active
Individual
CLINTON DWAYNE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21462
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21462
LICENSE NUMBER
FL
Enumeration date
04/20/2007
Last updated
03/23/2011
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