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NPI Code Detail

MEDICARE: MS. BENEVA KAY CRUZ PT

MEDICARE: MS. BENEVA KAY CRUZ PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist900OK

General Provider Information

NPI Number : 1518175983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BENEVA KAY CRUZ PT
Provider Business Mailing Address
First Line : 8208 NW 118TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-1114
Country : US
Telephone Number : 405-728-3834
Fax Number :
Provider Business Practice Location Address
First Line : 8208 NW 118TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-1114
Country : US
Telephone Number : 405-728-3834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/08/2007

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Directions to “ MS. BENEVA KAY CRUZ PT” Practice Location

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