Individual
DR. DAVID LEE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT CRC EDD
Contact information
Practice address
8330 NAAB ROAD, SUITE 311 INDIANAPOLIS REHABILITATION AGENCY, INDIANAPOLIS, IN 46260-1932
(317) 872-1501
(317) 872-1507
Mailing address
8330 NAAB ROAD, SUITE 311, INDIANAPOLIS, IN 46260-1932
(317) 872-1501
(317) 872-1507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001687A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188416
ANTHEM
IN
01
—
351642282
OTHER PREFERRED NETWORKS
—
01
—
I010338
CHAMPUS
—
Enumeration date
12/18/2006
Last updated
02/24/2017
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