Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 14770 | OH |
NPI | 1003292020 |
---|---|
Provider Name | Mrs. Evaine Delaney Crane |
First Address | Hilliard, OH 43026-2496 |
Second Address | Hilliard, OH 43026-2496 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2015 |
Last Update Date | 31/07/2015 |