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Organization
CROCKETT RANCH THERAPY SOLUTIONS
Active
Organization
CROCKETT RANCH THERAPY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHARINE RUSSELL RN (DIRECTOR)
(928) 853-9843
Entity
Organization
Contact information
Practice address
11705 N US HIGHWAY 89, FLAGSTAFF, AZ 86004-5327
(928) 853-9843
Mailing address
11705 N US HIGHWAY 89, FLAGSTAFF, AZ 86004-5327
(928) 853-9843
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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