Provider Demographics
NPI:1346604311
Name:CROWE, ANN MARIE BARTON (PT DPT MS)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE BARTON
Last Name:CROWE
Suffix:
Gender:F
Credentials:PT DPT MS
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:MARIE
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:222 S MERAMEC AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105
Mailing Address - Country:US
Mailing Address - Phone:602-430-3634
Mailing Address - Fax:314-286-1473
Practice Address - Street 1:222 S MERAMEC AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105
Practice Address - Country:US
Practice Address - Phone:602-430-3634
Practice Address - Fax:314-286-1473
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016019331225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist