Individual
MS. JOAN K CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 MORRIS ST, LACONNER, WA 98257
(360) 466-7458
(360) 466-1418
Mailing address
PO BOX 505, 413 MORRIS ST, LA CONNER, WA 98257-0505
(360) 466-7458
(360) 466-1418
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002242
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8336943
—
WA
Enumeration date
07/18/2006
Last updated
07/09/2007
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