Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | P3812 | NC |
NPI | 1104160878 |
---|---|
Provider Name | Norine Cross |
First Address | Chapel Hill, NC 27516-8626 |
Second Address | Chapel Hill, NC 27516-8626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2012 |
Last Update Date | 19/11/2012 |