Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225200000X | Physical Therapy Assistant | ||
Y | 225200000X | Physical Therapy Assistant | 3456 | OH |
NPI | 1003028374 |
---|---|
Provider Name | Mrs. Laura Ann Crow |
First Address | Toledo, OH 43617-1158 |
Second Address | Toledo, OH 43617-1158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |