Individual
JEMALENE DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
1850 BOWEN ST, OSHKOSH, WI 54901-2356
(920) 233-4011
Mailing address
1850 BOWEN ST, OSHKOSH, WI 54901-2356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11193-24
WI
225100000X
Physical Therapist
24538
FL
225100000X
Physical Therapist
3471
NM
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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