Individual
MRS. REAGAN MAE CRUMMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8709 HIGHLAND RIDGE LN, CHARLOTTE, NC 28216-1654
(704) 399-6451
Mailing address
8709 HIGHLAND RIDGE LN, CHARLOTTE, NC 28216-1654
(704) 399-6451
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4181
NC
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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