Individual
CARMEN CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
103 SOUTH AVE, HIGHLAND, KS 66035
(785) 442-3217
Mailing address
103 S AVENUE, HIGHLAND, KS 66035
(785) 442-3217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00346
KS
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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