Individual
NICOLE MARIE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2125 S 61ST ST, TEMPLE, TX 76504-6823
(254) 774-9991
(866) 340-6725
Mailing address
305 NE LOOP 820 STE 200, HURST, TX 76053-7211
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23824
FL
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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