JONATHAN GLENN DELACRUZ

DETROIT, MI
NPI1770591299
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501004334)
Enumeration Date2006-08-03
Last Update Date2007-07-08
Business Address
-- JONATHAN GLENN DELACRUZ B.S PT
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Mailing Address
-- JONATHAN GLENN DELACRUZ B.S PT
1801 CRESTVIEW DR
CANTON, MI 48188-2044
Phone number: 734-722-7083