| Mr Ronald Dean Crockett, | |
|
8800 Walther Blvd, Parkville, MD 21234-9001 | |
| (410) 882-3262 | |
| Not Available |
| Full Name | Mr Ronald Dean Crockett |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 8800 Walther Blvd, Parkville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346426582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3415 (Maryland) | Primary |
| Provider Name | Drayer Physical Therapy Of Maryland Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1780009001 PECOS PAC ID: 3173746609 Enrollment ID: O20140602000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ronald Dean Crockett, 115 Grace Manor Dr, Havre De Grace, MD 21078-2559 Ph: (410) 939-1655 | Mr Ronald Dean Crockett, 8800 Walther Blvd, Parkville, MD 21234-9001 Ph: (410) 882-3262 |
Mrs. Laura Snider Weidley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8710 Emge Rd, Parkville, MD 21234 Phone: 410-661-2448 | |
Lauren Mae Osgoodby, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3106 Dubois Ave, Parkville, MD 21234 Phone: 410-812-9163 | |
Laurel Ann Taylor, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8820 Walther Blvd, Parkville, MD 21234 Phone: 410-657-3593 | |
Kimberly Nunez, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8720 Emge Rd, Parkville, MD 21234 Phone: 410-668-1961 | |
Michelle Desantis, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8401 Leefield Rd, Parkville, MD 21234 Phone: 410-887-5378 | |
Sarah Fraida Kerman, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8710 Emge Rd, Parkville, MD 21234 Phone: 410-661-5955 |