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NPI Code Detail

MEDICARE: MRS. KRISTI CROSBY MAT

MEDICARE: MRS. KRISTI CROSBY MAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1679858708
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTI CROSBY MAT
Provider Business Mailing Address
First Line : 8718 BARRELLI CT
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-0269
Country : US
Telephone Number : 941-586-3082
Fax Number :
Provider Business Practice Location Address
First Line : 2708 NE 14TH ST
Second Line : SUITE 5
City : POMPANO BEACH
State : FL
Zip : 33062-3565
Country : US
Telephone Number : 888-880-9270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 10/20/2011

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Directions to “ MRS. KRISTI CROSBY MAT” Practice Location

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