Doctor Name: | TRACY D CROWE |
NPI Number: | 1710134374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 58967 Business Center Dr H Yucca Valley, CA - 922847308 |
Business Phone Number: | 7602289657 |
Business Fax Number: | 7603696758 |
Mailing Address: | 61789 Crest Circle Dr, JOSHUA TREE |
State: | CA |
Postal Code: | 922522606 |
Phone Number: | 7603665668 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2008 |
NPI Last Update Date: | 09/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |