Individual
KENNESHIA CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1552 SE FLORESTA DR # 1059, PORT ST LUCIE, FL 34983-4069
(772) 867-3898
Mailing address
1552 SE FLORESTA DR # 1059, PORT ST LUCIE, FL 34983-4069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
08/15/2025
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