Doctor Name: | DEIRDRE CRUZADO |
NPI Number: | 1164670246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5336 |
Business Practice Address: | 10207 W Country Place Blvd Therapy Services Rm 83 Tolleson, AZ - 853538450 |
Business Phone Number: | 6234786183 |
Business Fax Number: | |
Mailing Address: | 10207 W Country Place Blvd, Therapy Services Rm 83 TOLLESON |
State: | AZ |
Postal Code: | 853538450 |
Phone Number: | 6234786183 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2008 |
NPI Last Update Date: | 09/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |