Provider Demographics
NPI:1821463084
Name:CRAWLEY, CLINTON W (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CLINTON
Middle Name:W
Last Name:CRAWLEY
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CLINTON
Other - Middle Name:W
Other - Last Name:CRAWLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:7010 HODGSON MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2529
Mailing Address - Country:US
Mailing Address - Phone:912-401-0443
Mailing Address - Fax:912-401-0445
Practice Address - Street 1:7010 HODGSON MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2529
Practice Address - Country:US
Practice Address - Phone:912-401-0443
Practice Address - Fax:912-401-0445
Is Sole Proprietor?:No
Enumeration Date:2015-12-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT012216225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist