Provider Demographics
NPI:1538676457
Name:CRAWFORD-HARP, MADELYN DREW (DPT)
Entity Type:Individual
Prefix:
First Name:MADELYN
Middle Name:DREW
Last Name:CRAWFORD-HARP
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MADELYN
Other - Middle Name:DREW
Other - Last Name:CRAWFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:5130 BRADENTON AVE STE B
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-7068
Mailing Address - Country:US
Mailing Address - Phone:614-339-8088
Mailing Address - Fax:614-389-2404
Practice Address - Street 1:5130 BRADENTON AVE STE B
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-7068
Practice Address - Country:US
Practice Address - Phone:614-339-8088
Practice Address - Fax:614-389-2404
Is Sole Proprietor?:No
Enumeration Date:2017-12-30
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT020369225100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist