MRS. Carol V Crockett, PTA

NPI #1205837713 in Lebanon, Tennessee

Provider Information

NPI Number: 1205837713
Entity Type: Individual
Name: MRS. Carol V Crockett, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 9, 2005
Last Updated: Jan 4, 2010

Practice Location

Address: 521 WEST MAIN STREET
City: Lebanon
State: Tennessee
ZIP Code: 37087
Phone: (615) 444-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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