| Doctor Name: | MS. CHRISTINE ANNE CRUZ-COOPER |
| NPI Number: | 1407928666 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT |
| License Number: | PT 4040 |
| Business Practice Address: | 38051 Pasco Ave Dade City, FL - 335254234 |
| Business Phone Number: | 7278486747 |
| Business Fax Number: | 7278473107 |
| Mailing Address: | Po Box 1502, 6646 U.s. Hwy 19 NEW PORT RICHEY |
| State: | FL |
| Postal Code: | 346561502 |
| Phone Number: | 7278486747 |
| Fax Number: | 7278473107 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT 4040 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |