Individual
ANARELIS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5069 WALNUT RIDGE DR, ORLANDO, FL 32829-8271
(321) 303-6276
(321) 235-7311
Mailing address
5069 WALNUT RIDGE DR, ORLANDO, FL 32829-8271
(321) 303-6276
(321) 235-7311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA24501
STATE LICENSE
—
Enumeration date
04/09/2018
Last updated
06/16/2018
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