Provider Demographics
NPI:1295793198
Name:CRUSAN, CHRIS A (PT)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:A
Last Name:CRUSAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2371 WILLOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-9084
Mailing Address - Country:US
Mailing Address - Phone:336-221-8148
Mailing Address - Fax:336-584-8063
Practice Address - Street 1:1225 HUFFMAN MILL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8700
Practice Address - Country:US
Practice Address - Phone:336-584-7689
Practice Address - Fax:336-584-8063
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2343225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist