Individual
MICHELLE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 MAIN ST, ROSEVILLE, CA 95678-2067
(916) 771-1750
Mailing address
1050 MAIN ST, ROSEVILLE, CA 95678-2067
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT4958
CA
Other
Enumeration date
03/28/2013
Last updated
04/07/2026
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