Individual
MARIKA CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4347 W NORTHWEST HWY, DALLAS, TX 75220-3864
(214) 654-0947
Mailing address
6572 CHICORY CT, DALLAS, TX 75214-1629
(512) 657-5104
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1203197
TX
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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