Individual
FAYE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17428 MARTHA AVE, CERRITOS, CA 90703-8616
(310) 819-7298
Mailing address
17428 MARTHA AVE, CERRITOS, CA 90703-8616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2926
CA
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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