MR. Ellwood Charles Crouse III

NPI #1013540681 in Oakmont, Pennsylvania

Provider Information

NPI Number: 1013540681
Entity Type: Individual
Name: MR. Ellwood Charles Crouse III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Feb 21, 2020
Last Updated: Feb 21, 2020

Practice Location

Address: 215 ALLEGHENY AVENUE
Address 2: #204
City: Oakmont
State: Pennsylvania
ZIP Code: 15139-2059
Phone: (412) 423-5445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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