Individual
MS. CHRISTINE ANNE CRUZ-COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
38051 PASCO AVE, DADE CITY, FL 33525-4234
(727) 848-6747
(727) 847-3107
Mailing address
PO BOX 1502, 6646 U.S. HWY 19, NEW PORT RICHEY, FL 34656-1502
(727) 848-6747
(727) 847-3107
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 4040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070012601
—
FL
01
—
Y5110
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
11/14/2006
Last updated
07/08/2007
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