MEDICARE: CARRIE CROZIER-ARENA PHYSICAL THERAPIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	070-017175	IL

General Provider Information

NPI Number	:	1154657732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE CROZIER-ARENA PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	1529 DARIEN LAKE DR
Second Line	:
City	:	DARIEN
State	:	IL
Zip	:	60561-5078
Country	:	US
Telephone Number	:	630-856-2600
Fax Number	:	630-487-5975

Provider Business Practice Location Address
First Line	:	1529 DARIEN LAKE DR
Second Line	:
City	:	DARIEN
State	:	IL
Zip	:	60561-5078
Country	:	US
Telephone Number	:	630-856-2600
Fax Number	:	630-487-5975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2009
Last Update Date	:	12/17/2010

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Directions to “ CARRIE CROZIER-ARENA PHYSICAL THERAPIST” Practice Location

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