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MRS. LEANN DAWN CROCKETT MSPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1124131750

Individual Registrant:
MRS. LEANN DAWN CROCKETT MSPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
92410 OVERSEAS HIGHWAY SUITE 6 TAVERNIER, FL 33070-2636 US
Tel: 305-587-7770  Fax: 305-852-8300

Contact information for business:
92410 OVERSEAS HIGHWAY SUITE 6 TAVERNIER, FL 33070-2636 US
Tel: 305-587-7770  Fax: 305-852-8300

Registration Information:
NPI: 1124131750
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT21750

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
001268400FL05




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