Most Relevant Information
Provider Data
| NPI Number: | 1003667270 |
| Provider Name: | KATHLEEN CRUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2024 |
| Last Updated: | 03/27/2024 |
Provider Practice Location
5905 SEVERIN DR
LA MESA
CA
919423806
Practice Location Phone/Fax
| Phone: | 6195892606 |
| Fax: |
Provider Mailing Location
7453 GAYNESWOOD WAY
SAN DIEGO
CA
921393939
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |