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MR. JUSTIN B CRAIN RPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1790721363

Individual Registrant:
MR. JUSTIN B CRAIN RPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1000 FRIENDSHIP RD  TALLASSEE, AL 36078-1265 US
Tel: 334-283-8032  Fax: 334-283-1136

Contact information for business:
1000 FRIENDSHIP RD  TALLASSEE, AL 36078-1265 US
Tel: 334-283-8032  Fax: 334-283-1136

Registration Information:
NPI: 1790721363
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ALPTH4404

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA7981728AL01
UPINQ57152AL01
CAQH1150799801
BLUE CROSS BLUE SHIELD51531618AL01




HEALTH CARE JOBS AL - Page 1



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