Individual
WINDY O CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD, SCLV
Contact information
Practice address
4962 FALCON WOOD CT, MARIETTA, GA 30066-1283
(404) 617-0428
(678) 505-1436
Mailing address
4962 FALCON WOOD CT, MARIETTA, GA 30066-1283
(404) 617-0428
(678) 505-1436
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003955
GA
225XP0200X
Pediatric Occupational Therapist
3955
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894267979A
—
GA
Enumeration date
12/13/2006
Last updated
05/02/2023
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