Individual
JONATHAN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
056-014880
IL
Other
Enumeration date
06/08/2022
Last updated
12/15/2022
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