Individual
FREDERICK CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
8014 TANGELO DR, BOYNTON BEACH, FL 33436-1602
(561) 315-6604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 9610
FL
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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