Crocker, Latoya D

Crocker, Latoya D is an individual health care provider with primary practice located at 12655 Warwick Blvd Ste B, Newport News VA 23606. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Crocker, Latoya D can be contacted via phone (757) 599-5551.

Contact Information

Primary practice address
12655 Warwick Blvd Ste B Newport News VA 23606
Phone: (757) 599-5551
Fax: (757) 595-5238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305203475 Virginia

Profile Details

NPI number 1619939808
LBN Legal business name Crocker, Latoya D
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Apr 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619939808 NPPES
Virginia Other 192965 BCBS PHY THERAPY
Virginia MEDICAID 8953015 BCBS PHY THERAPY
Virginia Other 7080444 BCBS PHY THERAPY

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