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MR. CHAD CROOKS PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1295150340
Individual Registrant:MR. CHAD CROOKS PTA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
112 S FEDERAL HWY DANIA BEACH, FL 33004-3623 US
Tel: 954-920-5050 Fax: 954-920-7992
Tel: 954-920-5050 Fax: 954-920-7992
Contact information for business:
112 S FEDERAL HWY DANIA BEACH, FL 33004-3623 US
Tel: 954-920-5050 Fax: 954-920-7992
Tel: 954-920-5050 Fax: 954-920-7992
Registration Information:
NPI: 1295150340
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | FL | PTA-24644 |
| N | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | OH | PTA-04078 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
