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Individual

COLBY LEE CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
34 GRACEY ST, SPARTA, TN 38583-2046
(931) 836-2211
Mailing address
2170 IRIS LN, RICKMAN, TN 38580-2162
(931) 265-7594

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6774
TN

Other

Enumeration date
06/18/2018
Last updated
06/18/2018
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