Individual
LARRY DAVID CROSSLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6421 CAMP BOWIE BLVD STE 414, FORT WORTH, TX 76116-5422
(817) 735-8441
Mailing address
1418 NORTH TRAIL DRIVE, CARROLLTON, TX 75006
(469) 381-9595
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2120332
TX
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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