Crawford, Grace I

Crawford, Grace I is an individual health care provider with primary practice located at 4848 S 76Th St Ste 203 , Greenfield WI 53220-4361. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Crawford, Grace I can be contacted via phone (414) 282-2899.

Contact Information

Primary practice address
4848 S 76Th St Ste 203 Greenfield WI 53220-4361
Phone: (414) 282-2899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13092-24 Wisconsin

Profile Details

NPI number 1366824658
LBN Legal business name Crawford, Grace I
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2015
Last updated Nov 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366824658 NPPES
Wisconsin Other 13092-24 STATE LICENSE

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