Individual
KAILA STA. CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
86 THOMAS JOHNSON DR, SUITE 100, FREDERICK, MD 21702
(301) 694-8311
Mailing address
86 THOMAS JOHNSON DRIVE, SUITE 100, FREDERICK, MD 21702
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5778
MD
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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