Most Relevant Information
Provider Data
| NPI Number: | 1003358276 |
| Provider Name: | JACOB JAKE CRUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT60620370 |
Most Important Dates
| Enumeration Date: | 11/04/2016 |
| Last Updated: | 11/04/2016 |
Provider Practice Location
16520 LARCH WAY UNIT Q2
LYNNWOOD
WA
980378129
Practice Location Phone/Fax
| Phone: | 7068328632 |
| Fax: |
Provider Mailing Location
16520 LARCH WAY UNIT Q2
LYNNWOOD
WA
980378129
Provider Mailing Phone/Fax
| Phone: | 7068328632 |
| Fax: |