Organization
CROCHET PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CARTER (CREDENTIALING MANAGER)
(859) 737-0904
Entity
Organization
Contact information
Practice address
1382 SCOTT BLVD STE A, DECATUR, GA 30030-1461
(404) 377-1223
Mailing address
1382 SCOTT BLVD STE A, DECATUR, GA 30030-1461
(404) 377-1223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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