Individual
JIM EDWARD CROTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7255 E BROADWAY RD, MESA, AZ 85208-9201
(480) 981-8844
(480) 325-4563
Mailing address
1228 W DIAMOND AVE, APACHE JUNCTION, AZ 85220-7466
(480) 671-6940
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0241A
AZ
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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