Doctor Name: | MR. HENRY CRUZ |
NPI Number: | 1649493800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 22061 |
Business Practice Address: | 145 Hodencamp Rd Suite #100 Thousand Oaks, CA - 913605810 |
Business Phone Number: | 8054493489 |
Business Fax Number: | |
Mailing Address: | 1717 Via Pajaro, CAMARILLO |
State: | CA |
Postal Code: | 930124086 |
Phone Number: | 8053834050 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 22061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |