Doctor Name: | JAN PAUL DELA CRUZ |
NPI Number: | 1588098883 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 9538 |
Business Practice Address: | 1014 Middle Creek Rd Sevierville, TN - 378622939 |
Business Phone Number: | 8654539022 |
Business Fax Number: | 8654539177 |
Mailing Address: | 1014 Middle Creek Rd, SEVIERVILLE |
State: | TN |
Postal Code: | 378622939 |
Phone Number: | 8654539022 |
Fax Number: | 8654539177 |
NPI Enumeration Date: | 08/23/2013 |
NPI Last Update Date: | 08/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9538 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
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 |