Individual
COURTNEY S CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
35514 INDIGO DR, STERLING HEIGHTS, MI 48310-4946
(586) 212-2671
Mailing address
413 MAPLE DR, LINDEN, MI 48451-8946
(810) 397-7046
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
61576
MI
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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