Individual
BRAD CROSSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5471 KEARNY VILLA RD STE 202, SAN DIEGO, CA 92123-1141
(619) 279-6515
Mailing address
7335 VASSAR AVE, LA MESA, CA 91941-4721
(619) 741-3240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT3646
LICENSE #
CA
Enumeration date
08/30/2006
Last updated
07/08/2007
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