Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | 002784 | OH |
Y | 2251P0200X | Physical Therapist - Pediatrics | 002784 | OH |
NPI | 1356672281 |
---|---|
Provider Name | Deborah Croft |
First Address | Coshocton, OH 43812-1648 |
Second Address | Coshocton, OH 43812-1531 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2010 |
Last Update Date | 15/01/2010 |