NPI 1073735734

Melissa Crockett Crockett

Practitioner Physical Therapy Assistant Boston, MA

Practice location

Address: 9 Yarmouth Pl APT #3, Boston, MA 02116-5865
Phone: (617) 869-4193

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 7994 (MA)

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Registry record

NPI: 1073735734
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.