Doctor Name: | GRACE CROUCH |
NPI Number: | 1013392216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT.015530 |
Business Practice Address: | 2655 Commons Blvd Suite 120 Beavercreek, OH - 454313773 |
Business Phone Number: | 9373209131 |
Business Fax Number: | 9373209132 |
Mailing Address: | 2655 Commons Blvd, Suite 120 BEAVERCREEK |
State: | OH |
Postal Code: | 454313773 |
Phone Number: | 9373209131 |
Fax Number: | 9373209132 |
NPI Enumeration Date: | 07/29/2015 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT.015530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |