Individual
ERIN ASHLEY CRUTTENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
545 OLD NORCROSS ROAD, SUITE 100, LAWRENCEVILLE, GA 30046-3099
(678) 377-2833
(678) 377-2882
Mailing address
2725 BRIARFIELD WAY, LAWRENCEVILLE, GA 30043-2347
(678) 377-2833
(678) 377-2882
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT009063
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
574378030A
—
GA
Enumeration date
06/18/2007
Last updated
02/15/2016
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