Provider Demographics
NPI:1154657732
Name:CROZIER-ARENA, CARRIE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:CROZIER-ARENA
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1529 DARIEN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-5078
Mailing Address - Country:US
Mailing Address - Phone:630-856-2600
Mailing Address - Fax:630-487-5975
Practice Address - Street 1:1529 DARIEN LAKE DR
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-5078
Practice Address - Country:US
Practice Address - Phone:630-856-2600
Practice Address - Fax:630-487-5975
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-017175174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist