Doctor Name: | MR. BENJAMIN T CROSE |
NPI Number: | 1497195416 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT. |
License Number: | PT 39792 |
Business Practice Address: | 615 4th St Clovis, CA - 936121124 |
Business Phone Number: | 5593225345 |
Business Fax Number: | 5593225041 |
Mailing Address: | 615 4th St, CLOVIS |
State: | CA |
Postal Code: | 936121124 |
Phone Number: | 5593225345 |
Fax Number: | 5593225041 |
NPI Enumeration Date: | 07/05/2013 |
NPI Last Update Date: | 10/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 39792 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |