Individual
MISS ELOISA DELA CRUZ TARUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3886 BROADVIEW LN, GASTONIA, NC 28056-8380
(704) 964-8272
Mailing address
3886 BROADVIEW LN, GASTONIA, NC 28056-8380
(704) 964-8272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P11404
NC
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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