Individual
DANNY CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1407 N WHISENANT DR, DUNCAN, OK 73533-1698
(580) 251-8460
Mailing address
1407 N WHISENANT DR, DUNCAN, OK 73533-1698
(580) 251-8460
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1139
OK
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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