Individual
JERALDINE DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4801 BROADWAY, UNION CITY, NJ 07087-6516
(201) 751-5000
Mailing address
639 GALVIN AVE, ROSELLE, NJ 07203-1546
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00375900
NJ
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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