NPI | 1376230615 |
---|---|
Professional Name | DEBI CRADDOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13767) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA PT13767) |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-04-18 |