Individual
REX GO DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
2960 HOMESTEAD RD APT 40, SANTA CLARA, CA 95051-5247
(650) 918-9166
Mailing address
2960 HOMESTEAD RD APT 40, SANTA CLARA, CA 95051-5247
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
41254
CA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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