Individual
CARLOS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4509 B TOLT AVE, CARNATION, WA 98014
(407) 760-1333
Mailing address
PO BOX 1134, CARNATION, WA 98014
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OC60416008
WA
225700000X
Massage Therapist
Primary
MA60499241
WA
Other
Enumeration date
03/06/2014
Last updated
05/13/2015
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