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Individual

JAN PAUL DELA CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1014 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-2939
(865) 453-9022
(865) 453-9177
Mailing address
1014 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-2939
(865) 453-9022
(865) 453-9177

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9538
TN
225100000X
Physical Therapist
Primary
PT010590
GA

Other

Enumeration date
08/23/2013
Last updated
08/23/2013
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