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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNINE SHAKECIA CROCKETT

Active

SHANNINE SHAKECIA CROCKETT is a Occupational Therapy Assistant healthcare provider located in ALTADENA, California. NPI 1851674832 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · ALTADENA, CA

Registration Details

NPI Number
1851674832
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2011 (14.701298785462 yrs)
Last Updated
Sep 26, 2011

Practice Information

Address
2933 EL NIDO DR
ALTADENA, CA, 910014529
Browse CA providers · Browse ZIP 91001
Phone
6263957100
Primary Specialty
Occupational Therapy Assistant
225400000X

Other Occupational Therapy Assistant Providers in ALTADENA, CA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.