Maggi Crockett, PTA

NPI #1962852582 in Alsip, Illinois

Provider Information

NPI Number: 1962852582
Entity Type: Individual
Name: Maggi Crockett, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 14, 2016
Last Updated: Jun 14, 2016

Practice Location

Address: 12052 S CICERO AVE
City: Alsip
State: Illinois
ZIP Code: 60803-2313
Phone: (708) 489-9940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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