MRS. Diane Marie Crockett, PT

NPI #1063592806 in Twinsburg, Ohio

Provider Information

NPI Number: 1063592806
Entity Type: Individual
Name: MRS. Diane Marie Crockett, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 16, 2006
Last Updated: Nov 6, 2019

Practice Location

Address: 11136 RAVENNA RD
City: Twinsburg
State: Ohio
ZIP Code: 44087-1022
Phone: (330) 486-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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