Individual
CY CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7702 CASSIA AVE, RIVERSIDE, CA 92504-3604
(951) 756-0982
(951) 756-0982
Mailing address
7702 CASSIA AVE, RIVERSIDE, CA 92504-3604
(951) 756-0982
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT9820
CA
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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