Individual
MRS. LYNETTE T DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 BARTLETT STREET, MARIETTA, OH 45750
(740) 373-1867
Mailing address
1904 MARKET ST, PARKERSBURG, WV 26101-2515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
013870
OH
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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