Jacob Jake Cruz

NPI #1003358276 in Lynnwood, Washington

Provider Information

NPI Number: 1003358276
Entity Type: Individual
Name: Jacob Jake Cruz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 4, 2016
Last Updated: Nov 4, 2016

Practice Location

Address: 16520 LARCH WAY UNIT Q2
City: Lynnwood
State: Washington
ZIP Code: 98037-8129
Phone: (706) 832-8632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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