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Individual

JOANNA MAE CADIZ DE LA CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
403 W ADAMS BLVD, LOS ANGELES, CA 90007-2664
(213) 742-1450
Mailing address
20136 E ARROW HWY, COVINA, CA 91724-1102
(347) 479-2421

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
030189
NY
2251P0200X
Pediatric Physical Therapist
Primary
294717
CA

Other

Enumeration date
11/21/2008
Last updated
05/07/2020
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