Provider Demographics
NPI:1023629292
Name:CROZIER, THERESA
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:CROZIER
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 1:1480 HAMMOCK RIDGE RD APT 11206
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6389
Mailing Address - Country:US
Mailing Address - Phone:407-694-5258
Mailing Address - Fax:
Practice Address - Street 1:7975 LAKE UNDERHILL RD STE 300
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-8205
Practice Address - Country:US
Practice Address - Phone:407-303-6733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant