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Individual

DR. LATOYA D CROCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
633D MEDICAL GROUP, 77 NEALY AVENUE, LANGLEY AFB, VA 23665
(757) 764-5184
Mailing address
771 PILOT HOUSE DRIVE, NEWPORT NEWS, VA 23606
(757) 873-2302
(757) 873-2306

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203475
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
192965
BCBS PHY THERAPY
VA
01
650025722
RAILROAD MEDICARE
VA
01
7080444
AETNA
VA
05
8953015
VA
Enumeration date
04/04/2006
Last updated
05/21/2025
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