Individual
AARON JUSTINIANI CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
517 S A ST, MADERA, CA 93638-3806
(559) 673-9228
(559) 674-7199
Mailing address
8867 N HAYSTON AVE, FRESNO, CA 93720-1960
(904) 403-8468
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
OTA2993
CA
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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