Individual
MISS RAICHELLE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
950 TRAVELERS BLVD, SUMMERVILLE, SC 29485-8287
(843) 832-8481
Mailing address
9827 SEED ST, LADSON, SC 29456-6762
(610) 442-8463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205406
VA
Other
Enumeration date
09/25/2009
Last updated
03/11/2020
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