JOEL CRUZ PT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1003382276- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT
- Status
- Active
Contact & Location
- Address
- 186 W PINE ST, SHELLEY, ID, 832741235
- Phone
- (208) 680-4787
Specialties & Taxonomies
Physical Therapy Assistant
License: ID #PTA-4520
Physical Therapist
Primary License: ID #PT-7250