Individual
GREG L CROSS
Active
Individual
GREG L CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000001129
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1129
TN PT LICENSE
TN
Enumeration date
04/18/2007
Last updated
12/16/2019
Update your record
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