Individual
JEANNINE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 HIGHWAY 101 N, GEARHART, OR 97138-4321
(201) 410-9434
Mailing address
3621 HIGHWAY 101 N, GEARHART, OR 97138-4321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1072802
OR
225X00000X
Occupational Therapist
46TR00376500
NJ
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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