Individual
MR. ETHAN CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1000 METHODIST OAKS DRIVE, ORANGEBURG, SC 29115
(803) 534-1212
Mailing address
1000 METHODIST OAKS DRIVE, ORANGEBURG, SC 29115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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