Individual
ZACHARY DAVID CRICKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9B FIELDSTONE CMNS, TOLLAND, CT 06084-3421
(860) 870-9800
(860) 870-9806
Mailing address
435 HARTFORD TPKE STE U, VERNON, CT 06066-4834
(860) 979-1611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011948
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011948
LICENSE
CT
Enumeration date
08/08/2018
Last updated
08/08/2018
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