Individual
MR. GLEN GOMEZ CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3100 CLUB DR, LAWRENCEVILLE, GA 30044-2591
(770) 923-3100
Mailing address
3605 GAINESWAY CT, DULUTH, GA 30096-1738
(678) 468-7703
(770) 497-6405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008454
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT008454
STATE OF GEORGIA PT BOARD
GA
Enumeration date
04/14/2008
Last updated
04/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us