LESTER CROCKER

SUMMIT, MS
NPI1295167278
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA1940)
Enumeration Date2013-08-01
Last Update Date2013-08-01
Business Address
-- LESTER CROCKER
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
Mailing Address
-- LESTER CROCKER
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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