Individual
JACOB JAKE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16520 LARCH WAY UNIT Q2, LYNNWOOD, WA 98037-8129
(706) 832-8632
Mailing address
16520 LARCH WAY UNIT Q2, LYNNWOOD, WA 98037-8129
(706) 832-8632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60620370
WA
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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