Individual
MICHAEL VINCENT DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, OTR/L
Contact information
Practice address
6222 STATE ST, HUNTINGTON PARK, CA 90255-4403
(323) 582-3189
Mailing address
17637 SARENTINA CT, BELLFLOWER, CA 90706-7035
(562) 787-2714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
8388
CA
225XP0200X
Pediatric Occupational Therapist
Primary
8388
CA
Other
Enumeration date
06/16/2006
Last updated
03/04/2008
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