| NPI | 1376613646 |
|---|---|
| Former Name | MARIA THERESA CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60886313) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT007776) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2022-07-16 |