Healthcare Provider Details

I. General information

NPI: 1104160878
Provider Name (Legal Business Name): NORINE CROSS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2012
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 HIGHLAND TRL
CHAPEL HILL NC
27516-8626
US

IV. Provider business mailing address

204 HIGHLAND TRL
CHAPEL HILL NC
27516-8626
US

V. Phone/Fax

Practice location:
  • Phone: 919-968-6576
  • Fax: 919-969-1546
Mailing address:
  • Phone: 919-968-6576
  • Fax: 919-969-1546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberP3812
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: