Provider Demographics
NPI:1033407424
Name:CROWLEY, JOHN PETER (DPT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PETER
Last Name:CROWLEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 GAY HILL RD
Mailing Address - Street 2:
Mailing Address - City:UNCASVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06382-2081
Mailing Address - Country:US
Mailing Address - Phone:860-848-3803
Mailing Address - Fax:
Practice Address - Street 1:10 CONNECTICUT AVE
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-1502
Practice Address - Country:US
Practice Address - Phone:860-859-5100
Practice Address - Fax:860-859-5110
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9156225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist