Provider Demographics
NPI:1942064480
Name:CRIMMINS, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:CRIMMINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 LANKFORD HWY
Mailing Address - Street 2:
Mailing Address - City:OAK HALL
Mailing Address - State:VA
Mailing Address - Zip Code:23416-2148
Mailing Address - Country:US
Mailing Address - Phone:443-235-2150
Mailing Address - Fax:
Practice Address - Street 1:8020 LANKFORD HWY
Practice Address - Street 2:
Practice Address - City:OAK HALL
Practice Address - State:VA
Practice Address - Zip Code:23416-2148
Practice Address - Country:US
Practice Address - Phone:443-235-2150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy