MR. Eddie Lee Crocker, PT

NPI #1316978612 in Dyersburg, Tennessee

Provider Information

NPI Number: 1316978612
Entity Type: Individual
Name: MR. Eddie Lee Crocker, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 5, 2006
Last Updated: Dec 18, 2013

Practice Location

Address: 1400 SHELBY DR
City: Dyersburg
State: Tennessee
ZIP Code: 38024-3435
Phone: (731) 288-5056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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