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Individual

MR. ROBERT RYAN CRUZ SY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
4211 WAIALAE AVE STE 303, HONOLULU, HI 96816-5316
(845) 636-3044
Mailing address
4211 WAIALAE AVE STE 303, HONOLULU, HI 96816-5316
(845) 636-3044

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
022079
NY
225100000X
Physical Therapist
Primary
PT5570
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02715382
NY
Enumeration date
11/11/2005
Last updated
03/03/2024
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