Individual
SHANNON CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1901A MISSION 66, VICKSBURG, MS 39180-3711
(601) 638-4076
Mailing address
1901A MISSION 66, VICKSBURG, MS 39180-3711
(601) 638-4076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 4795
MS
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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