Individual
MRS. JODY KATHLEEN DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2817
(919) 424-5080
Mailing address
905 MERCURY CR, LITTLETON, CO 80124
(303) 708-8804
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
285784
CO
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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