DERRICK ANTONIA CRAWFORD

OMAHA, NE
NPI1659659688
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  481)
Enumeration Date2011-07-25
Last Update Date2011-07-25
Business Address
-- DERRICK ANTONIA CRAWFORD PTA
12856 DEAUVILLE DR
OMAHA, NE 68137-3204
Phone number: 402-895-2266
Mailing Address
-- DERRICK ANTONIA CRAWFORD PTA
2107 DOVER CT
BELLEVUE, NE 68005-4366
Phone number: 402-895-2266
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