Individual
MAGGI CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12052 S CICERO AVE, ALSIP, IL 60803-2313
(708) 489-9940
(708) 489-9961
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007483
IL
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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