Individual
CHARLON DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12218 W SAMPLE RD, CORAL SPRINGS, FL 33065-4223
(954) 913-2962
Mailing address
12218 W SAMPLE RD, CORAL SPRINGS, FL 33065-4223
(954) 913-2962
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1309306
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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