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Individual

MS. CHRISTINE ANNE CRUZ-COOPER

Active
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Individual

MS. CHRISTINE ANNE CRUZ-COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

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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