Individual
ANDREA CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1110 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3336
(573) 785-6707
(573) 785-0336
Mailing address
1110 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3336
(573) 785-6707
(573) 785-0336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
117229
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483972923
—
MO
Enumeration date
04/21/2006
Last updated
08/26/2008
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