Lester Crocker Valid NPI

Individual provider · Physical Therapy Assistant · Summit, MS

NPI

1295167278

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

PTA1940 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2013-08-01

Last updated

2013-08-01