ABIGAIL DAWN CRANDALL
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1982301982- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 36 WINN DR STE 100, REXBURG, ID, 834405277
- Phone
- (208) 356-0174
- Fax
- (208) 356-0176
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: ID #PTA8612
All Addresses
MAILING
1209 N 990 E
SHELLEY, ID, 832745177