Crandall, Abigail Dawn
Crandall, Abigail Dawn is an sole proprietor health care provider with primary practice located at 36 Winn Dr Ste 100 , Rexburg ID 83440-5277. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Crandall, Abigail Dawn can be contacted via phone (208) 356-0174.Contact Information
Primary practice address
36 Winn Dr Ste 100
Rexburg ID 83440-5277
Phone: (208) 356-0174
Fax: (208) 356-0176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA8612 | Idaho |
Profile Details
| NPI number | 1982301982 |
|---|---|
| LBN Legal business name | Crandall, Abigail Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2023 |
| Last updated | Feb 9th, 2023 - about 2 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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