IMMANUEL T CRUZ

STONE MOUNTAIN, GA
NPI1780964387
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT004739)
Enumeration Date2011-08-26
Last Update Date2011-08-26
Business Address
Mr. IMMANUEL T CRUZ OTR
2155 W PARK CT SUITE G
STONE MOUNTAIN, GA 30087-3500
Phone number: 770-465-5084
Mailing Address
Mr. IMMANUEL T CRUZ OTR
475 PAPER MILL DR
LAWRENCEVILLE, GA 30046-3193
Phone number: 404-563-4593
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