Individual
JAY EMMANUEL DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5660 DURHAM RD, ROXBORO, NC 27574-7958
(336) 598-4697
Mailing address
2000 MUDDY CREEK CT, RALEIGH, NC 27610-3780
(919) 400-8940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11511
NC
Other
Enumeration date
08/07/2018
Last updated
05/05/2020
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