Ricky Crockett
NPI #1215124300 in Altadena, California
Provider Information
- NPI Number
- 1215124300
- Entity Type
- Individual
- Name
- Ricky Crockett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Oct 2, 2007
- Last Updated
- Oct 2, 2007
Practice Location
- Address
- 2933 EL NIDO DR
- City
- Altadena
- State
- California
- ZIP Code
- 91001-4529
- Phone
- (626) 397-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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