Individual
JAMIE CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11219 JAMESTOWN DR, LITTLE ROCK, AR 72211-2408
(501) 425-3033
Mailing address
11219 JAMESTOWN DR, LITTLE ROCK, AR 72211-2408
(501) 425-3033
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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