Whalio Doctors

NPI 1003156316

Grace Crumrine

Practitioner Physical Therapy Assistant Port Orange, FL

Practice location

Address
5535 S Williamson Blvd STE 774, Port Orange, FL 32128-8311
Phone
(800) 330-7711
Fax
(866) 426-2811
Mailing address
30133 Hayes Ln, Junction City, OR 97448-9449

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 08490 (OR)

Registry record

NPI
1003156316
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Feb 2013
Record last updated
22 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.