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Ricky Crockett
Rehabilitation Practitioner in Altadena, California
NPI 1215124300

Ricky Crockett is a Rehabilitation Practitioner based in Altadena, CA. Ricky Crockett practices in Altadena, CA. The NPI Number for Ricky Crockett is 1215124300 and holds a License No. (California).

The current practice location address for Ricky Crockett is 2933 El Nido Dr, Altadena, CA and can be reached out via phone at 626-397-7100.

Location: 2933 El Nido Dr, Altadena, CA, 91001-4529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215124300
Provider Name
Ricky Crockett
Credential
Provider Entity Type
Individual
Gender
Male
Address
2933 El Nido Dr, Altadena, CA, 91001-4529
Phone Number
626-397-7100
Fax Number
Provider Enumeration Date
10/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2933 El Nido Dr
City
Altadena
State
California
Zip
91001-4529
Phone Number
626-397-7100
Fax Number
person
Provider Business Mailing Address Details
Address
2933 El Nido Dr
City
Altadena
State
California
Zip
91001-4529
Phone Number
626-397-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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