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MR. CHAD CROOKS PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1295150340

Individual Registrant:
MR. CHAD  CROOKS PTA
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

Contact information for business:
112 S FEDERAL HWY  DANIA BEACH, FL 33004-3623 US
Tel: 954-920-5050  Fax: 954-920-7992

Registration Information:
NPI: 1295150340
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FLPTA-24644
N225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
OHPTA-04078

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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