Individual
SCOTT CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 DOG LN # B, STORRS MANSFIELD, CT 06268-2206
(860) 429-0899
Mailing address
465 BUCKLAND HILLS DR, APT 28331, MANCHESTER, CT 06042-9100
(860) 648-2731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007196
LICENSE #
CT
Enumeration date
08/29/2006
Last updated
07/08/2007
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