MAGGI CROCKETT

ALSIP, IL
NPI1962852582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.007483)
Enumeration Date2016-06-14
Last Update Date2016-06-14
Business Address
-- MAGGI CROCKETT PTA
12052 S CICERO AVE
ALSIP, IL 60803-2313
Phone number: 708-489-9940
Mailing Address
-- MAGGI CROCKETT PTA
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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