Provider Demographics
NPI:1346709128
Name:CROW, KRISTEN NICOLE IGNASZEWSKI (DPT)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:NICOLE IGNASZEWSKI
Last Name:CROW
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:1050 INDUSTRIAL DR STE 210
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-2803
Mailing Address - Country:US
Mailing Address - Phone:302-608-9008
Mailing Address - Fax:302-449-2047
Practice Address - Street 1:108 BROADKILL RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:DE
Practice Address - Zip Code:19968-1008
Practice Address - Country:US
Practice Address - Phone:302-608-9008
Practice Address - Fax:302-449-2047
Is Sole Proprietor?:No
Enumeration Date:2019-03-19
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL34729225100000X
VA2305214971225100000X
NC17387225100000X
DEJ1-0015053225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist