Doctor Name: | JEFFREY DELA CRUZ |
NPI Number: | 1295141158 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1182168 |
Business Practice Address: | 4802 Fordham St Lubbock, TX - 794161200 |
Business Phone Number: | 3186144336 |
Business Fax Number: | |
Mailing Address: | 4802 Fordham St, LUBBOCK |
State: | TX |
Postal Code: | 794161200 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/10/2014 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1182168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |