Shannine Shakecia Crockett
NPI #1851674832 in Altadena, California
Provider Information
- NPI Number
- 1851674832
- Entity Type
- Individual
- Name
- Shannine Shakecia Crockett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Sep 26, 2011
- Last Updated
- Sep 26, 2011
Practice Location
- Address
- 2933 EL NIDO DR
- City
- Altadena
- State
- California
- ZIP Code
- 91001-4529
- Phone
- (626) 395-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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