Mr. DANIEL A CROCKETT -- COTA
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1073727871- Provider Type
- Individual Provider (NPI-1)
- Credentials
- COTA
- Status
- Active
Contact & Location
- Address
- 640 HANNINGS LN, MARTIN, TN, 382373308
- Phone
- (731) 587-3193
- Fax
- (731) 588-2732
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: TN #0000001524