Mary Antoniette Detuyatu Cruz, R.P.T. Valid NPI
Individual provider · Physical Therapist · Sherman Oaks, CA
- NPI
- 1043498207
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 28208 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2008-02-08
- Last updated
- 2008-02-08
Practice location
14148 Magnolia Blvd, Suite 105
Sherman Oaks, CA 91423-6413
(818) 784-3838