Individual
MARY P CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2885 HARRIS ST, EUREKA, CA 95503-4808
(707) 443-1627
Mailing address
5012 SURREY DR, REDDING, CA 96002-4108
(530) 222-5158
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1487
CA
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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