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Individual

ANTONIO CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2939 S HAVERHILL ROAD, WPB, FL 33415
(561) 641-3130
(561) 964-6178
Mailing address
7936 AMBLESIDE WAY, LAKE WORTH, FL 33467

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19014
FL

Other

Enumeration date
04/24/2015
Last updated
04/24/2015
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