Individual
MRS. GEORGINA PERALTA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1090 MED PARK DR, LAS CRUCES, NM 88005-3236
(575) 523-7243
Mailing address
4573 MESA CORTA DR, LAS CRUCES, NM 88011-6040
(708) 465-2032
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1676
NM
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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