Individual
KIMBERLY DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 MILLS LN, IRVING, TX 75062-7589
(682) 559-6618
Mailing address
608 MILLS LN, IRVING, TX 75062-7589
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2098520
TX
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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