MEDICARE: LAUREN E CRUZ DPT, OCS

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
1	225100000X	Physical Therapist	26116	MA
2	225100000X	Physical Therapist	PTL26116	MA

General Provider Information

NPI Number	:	1982342721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN E CRUZ DPT, OCS

Provider Business Mailing Address
First Line	:	PSC 475 BOX 1734
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96350-1734
Country	:	US
Telephone Number	:	315-243-8692
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 475
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96350-9998
Country	:	US
Telephone Number	:	315-243-5348
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2022
Last Update Date	:	06/05/2026

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Directions to “ LAUREN E CRUZ DPT, OCS” Practice Location

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