Justin De La Cruz, | |
7281 Lone Pine Dr Ste D103, Rancho Murieta, CA 95683-9715 | |
(916) 354-0719 | |
Not Available |
Full Name | Justin De La Cruz |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 7281 Lone Pine Dr Ste D103, Rancho Murieta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407667637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 307229 (California) | Primary |
Provider Name | Mdrs Spine & Sport Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
Mailing Address | Practice Location Address |
---|---|
Justin De La Cruz, 7281 Lone Pine Dr Ste D103, Rancho Murieta, CA 95683-9715 Ph: (916) 354-0719 | Justin De La Cruz, 7281 Lone Pine Dr Ste D103, Rancho Murieta, CA 95683-9715 Ph: (916) 354-0719 |
Murieta Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7281 Lone Pine Dr, D104, Rancho Murieta, CA 95683 Phone: 916-354-0719 Fax: 916-354-1187 | |
Joseph Jemera, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7281 Lone Pine Dr, Suite D103, Rancho Murieta, CA 95683 Phone: 916-354-0719 Fax: 916-354-1187 |