Cross, Andrea

Cross, Andrea is an individual health care provider with primary practice located at 1110 N Westwood Blvd , Poplar Bluff MO 63901-3336. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cross, Andrea can be contacted via phone (573) 785-6707.

Contact Information

Primary practice address
1110 N Westwood Blvd Poplar Bluff MO 63901-3336
Phone: (573) 785-6707
Fax: (573) 785-0336
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 117229 Missouri

Profile Details

NPI number 1396701116
LBN Legal business name Cross, Andrea
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Aug 26th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396701116 NPPES
Missouri MEDICAID 483972923

Popular Providers