Individual
RONALD CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
301 E MIEL DEL LUNA AVE, TUCUMCARI, NM 88401-0001
(575) 461-7230
Mailing address
PO BOX 143, 1600 W ROUTE 66, TUCUMCARI, NM 88401-0001
(307) 250-0894
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0791
WY
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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