Grace Crumrine

NPI #1003156316 in Port Orange, Florida

Provider Information

NPI Number: 1003156316
Entity Type: Individual
Name: Grace Crumrine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 22, 2013
Last Updated: Feb 22, 2013

Practice Location

Address: 5535 S WILLIAMSON BLVD
Address 2: STE 774
City: Port Orange
State: Florida
ZIP Code: 32128-8311
Phone: (800) 330-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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