Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT00004368 | WA |
NPI | 1225175409 |
---|---|
Provider Name | Lucy M Cruz |
First Address | Pasco, WA 99301-5633 |
Second Address | Pasco, WA 99301-5633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 10/03/2021 |