Individual
KASSANDRA EDITH CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2110 LOMAS DEL SUR, LAREDO, TX 78046-5750
(956) 712-9111
Mailing address
3304 SANTA MARIA AVE, LAREDO, TX 78040-1203
(956) 652-1025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216750
TX
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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