Individual
COURTNEY CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1891 EFFIE ST, LOS ANGELES, CA 90026-1711
(323) 644-2000
(323) 644-4217
Mailing address
1891 EFFIE ST, LOS ANGELES, CA 90026-1711
(323) 644-2000
(323) 644-4217
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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