Individual
SUSAN R CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LATC
Contact information
Practice address
33701 ST RD 52, SAINT LEO, FL 33574
(352) 588-7557
Mailing address
33701 ST RD 52, MSC 2038, SAINT LEO, FL 33603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
FL3905
FL
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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