CAROL V CROCKETT

LEBANON, TN
NPI1205837713
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  70)
Enumeration Date2005-08-09
Last Update Date2010-01-04
Business Address
Mrs. CAROL V CROCKETT PTA
521 WEST MAIN STREET
LEBANON, TN 37087
Phone number: 615-444-9400
Mailing Address
Mrs. CAROL V CROCKETT PTA
521 WEST MAIN STREET
LEBANON, TN 37087
Phone number: 615-444-9400
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