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1730833161
STEPHEN M CROCKETT
COLORADO SPRINGS, CO
NPI
1730833161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0015133)
Enumeration Date
2022-02-04
Last Update Date
2022-02-04
Business Address
STEPHEN M CROCKETT PTA
8540 SCARBOROUGH DR STE 200
COLORADO SPRINGS, CO 80920-7513
Phone number: 303-322-8300
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Mailing Address
STEPHEN M CROCKETT PTA
891 WESTMORELAND RD APT 205
COLORADO SPRINGS, CO 80907-4649
Phone number: 814-403-6700
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