Individual
MR. BENJAMIN ORBIC CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, EMT
Contact information
Practice address
18 SPORTSMAN DR STE 10, CLARION, PA 16214-8572
(814) 226-1356
Mailing address
93 CARRIER ST, SUMMERVILLE, PA 15864-6301
(724) 525-5766
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
0912140
PA
2255A2300X
Athletic Trainer
Primary
RT007344
PA
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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