Individual
MS. MELISSA HARDIN CROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
115 PARK RIDGE RD, SALTILLO, MS 38866-9390
(662) 687-2886
Mailing address
115 PARK RIDGE RD, SALTILLO, MS 38866-9390
(662) 687-2886
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1363
MS
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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