Individual
CRAIG CROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
705 E 13TH ST, GEORGETOWN, TX 78626
(512) 743-1781
Mailing address
202 PENNSYLVANIA AVE, LOUISVILLE, KY 40206-1540
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2050823
TX
314000000X
Skilled Nursing Facility
A03000
KY
Other
Enumeration date
01/05/2015
Last updated
08/22/2018
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