Individual
MR. LUIS CRUZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4162 WILDCAT DR, CORPUS CHRISTI, TX 78410-5100
(361) 241-2954
Mailing address
3658 SAN BLAS DR, CORPUS CHRISTI, TX 78415-3335
(361) 945-0066
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214687
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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