Cruz, Mary Antoniette Detuyatu

Cruz, Mary Antoniette Detuyatu is an sole proprietor health care provider with primary practice located at 14148 Magnolia Blvd Suite 105, Sherman Oaks CA 91423-6413. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cruz, Mary Antoniette Detuyatu can be contacted via phone (818) 784-3838.

Contact Information

Primary practice address
14148 Magnolia Blvd Suite 105 Sherman Oaks CA 91423-6413
Phone: (818) 784-3838
Fax: (818) 784-3803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 28208 California

Profile Details

NPI number 1043498207
LBN Legal business name Cruz, Mary Antoniette Detuyatu
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2008
Last updated Feb 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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