Provider Demographics
NPI:1386773893
Name:CRAWFORD, FRANCES LYNTON (PT)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:LYNTON
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LYN
Other - Middle Name:
Other - Last Name:CRAWFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:4041 FAWN RUN
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2637
Mailing Address - Country:US
Mailing Address - Phone:770-579-6628
Mailing Address - Fax:
Practice Address - Street 1:4041 FAWN RUN
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2637
Practice Address - Country:US
Practice Address - Phone:770-579-6628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1562225100000X
MA7524225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist