Mirabela Cruson

NPI #1689240962 in Rosiclare, Illinois

Provider Information

NPI Number: 1689240962
Entity Type: Individual
Name: Mirabela Cruson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 27, 2021
Last Updated: May 27, 2021

Practice Location

Address: 55 FERRELL RD
City: Rosiclare
State: Illinois
ZIP Code: 62982-1006
Phone: (618) 285-3655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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