Individual
ELIZABETH B CROCKART
Active
Individual
ELIZABETH B CROCKART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008240L
PA
2251P0200X
Pediatric Physical Therapist
PT008240L
PA
Other
Enumeration date
05/08/2009
Last updated
02/26/2019
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