Healthcare Provider Details

I. General information

NPI: 1083383772
Provider Name (Legal Business Name): FRANCINE LYNNE CRUTSINGER MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11601 BISCAYNE BLVD STE 312
MIAMI FL
33181-3151
US

IV. Provider business mailing address

2127 WILSON ST
HOLLYWOOD FL
33020-2648
US

V. Phone/Fax

Practice location:
  • Phone: 786-206-4151
  • Fax:
Mailing address:
  • Phone: 757-971-1484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: