| NPI | 1235219353 |
|---|---|
| Professional Name | CREED LARRUCEA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 24966) |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: CA EN 52) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-05-20 |