LARRY GENE CROCKETT

ABILENE, TX
NPI1881711091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  202625)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
Mr. LARRY GENE CROCKETT COTA
2617 ANTILLEY RD
ABILENE, TX 79606-5109
Phone number: 325-437-1184
Mailing Address
Mr. LARRY GENE CROCKETT COTA
2345 FM 1750
ABILENE, TX 79602-5509
Phone number: 235-437-1184