Individual
DOLORES J CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220
(704) 532-5364
Mailing address
6005 ANDREW THOMAS DRIVE, APT. 114, CHARLOTTE, NC 28269-3357
(347) 678-3798
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4012
NC
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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