MS. Mary Antoniette Detuyatu Cruz, R.P.T.
NPI #1043498207 in Sherman Oaks, California
Provider Information
- NPI Number
- 1043498207
- Entity Type
- Individual
- Name
- MS. Mary Antoniette Detuyatu Cruz, R.P.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- R.P.T.
- Enumeration Date
- Feb 8, 2008
- Last Updated
- Feb 8, 2008
Practice Location
- Address
- 14148 MAGNOLIA BLVD
- Address 2
- SUITE 105
- City
- Sherman Oaks
- State
- California
- ZIP Code
- 91423-6413
- Phone
- (818) 784-3838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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