Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology |
NPI | 1720551484 |
---|---|
Provider Name | Jennifer Crowder |
First Address | North Canton, OH 44720-4373 |
Second Address | Stow, OH 44224-5823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2019 |
Last Update Date | 05/01/2019 |