Mendiola, Daniel Cruz

Mendiola, Daniel Cruz is an individual health care provider with primary practice located at 615 Lilly Rd Ne Ste 240 , Olympia WA 98506-5117. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Other Service Providers / Specialist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is his primary health care specialty. Mendiola, Daniel Cruz can be contacted via phone (360) 413-3850.

Contact Information

Primary practice address
615 Lilly Rd Ne Ste 240 Olympia WA 98506-5117
Phone: (360) 413-3850
Fax: (360) 359-4726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT00000867 Washington
Other Service Providers / Specialist 174400000X OT00000867 Washington

Profile Details

NPI number 1730380841
LBN Legal business name Mendiola, Daniel Cruz
Credentials OTRL, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Mar 22nd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730380841 NPPES
Washington MEDICAID 8341299

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