Individual
MATTHEW CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 783-3309
Mailing address
PO BOX 833, TIFFIN, OH 44883-0833
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6547
OH
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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