Kenneth Mark Niedo Cruz, PTA
NPI #1184219891 in Glendale, California
Provider Information
- NPI Number
- 1184219891
- Entity Type
- Individual
- Name
- Kenneth Mark Niedo Cruz, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Mar 4, 2021
- Last Updated
- Mar 4, 2021
Practice Location
- Address
- 1000 N CENTRAL AVE STE 110
- City
- Glendale
- State
- California
- ZIP Code
- 91202-3685
- Phone
- (818) 243-8422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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