Most Relevant Information
Provider Data
| NPI Number: | 1003316969 |
| Provider Name: | OLIVIA LAURA CRUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 294419 |
Most Important Dates
| Enumeration Date: | 02/17/2018 |
| Last Updated: | 01/25/2019 |
Provider Practice Location
21015 PATHFINDER RD STE 100
DIAMOND BAR
CA
917654002
Practice Location Phone/Fax
| Phone: | 9098613511 |
| Fax: |
Provider Mailing Location
1921 JENNIE LN
LA HABRA
CA
906313341
Provider Mailing Phone/Fax
| Phone: | 5626654878 |
| Fax: |