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STEPHEN M CROCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
8540 SCARBOROUGH DR STE 200, COLORADO SPRINGS, CO 80920-7513
(303) 322-8300
Mailing address
891 WESTMORELAND RD APT 205, COLORADO SPRINGS, CO 80907-4649
(814) 403-6700

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015133
CO

Other

Enumeration date
02/04/2022
Last updated
02/04/2022
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