Individual
ANTONIO E. CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.T.A./L.
Contact information
Practice address
1212 S BRIDGE AVE, WESLACO, TX 78596-7906
(956) 968-2121
Mailing address
2011 SUMMER BREEZE RD, MISSION, TX 78572-3259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207883
TX
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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