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1720610967
LARRY DAVID CROSSLAND
FORT WORTH, TX
NPI
1720610967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2120332)
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
LARRY DAVID CROSSLAND
6421 CAMP BOWIE BLVD STE 414
FORT WORTH, TX 76116-5422
Phone number: 817-735-8441
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Mailing Address
LARRY DAVID CROSSLAND
1418 NORTH TRAIL DRIVE
CARROLLTON, TX 75006
Phone number: 469-381-9595
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