Individual
MRS. ALICIA MICHELLE CROCETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
201 PALOMA DR, TEMPLE, TX 76502-2211
(254) 892-0527
Mailing address
201 PALOMA DR, TEMPLE, TX 76502-2211
(254) 892-0527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1330699
TX
225100000X
Physical Therapist
2019029996
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1330699
TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS
TX
01
—
2019029996
MISSOURI STATE BOARD OF HEALING ARTS
MO
01
—
T980350872
STATE OF MISSOURI
MO
Enumeration date
07/09/2020
Last updated
07/09/2020
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