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NPI Code Detail

MEDICARE: ARIANNE DELA CRUZ

MEDICARE: ARIANNE DELA CRUZ
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
1225XP0200XPediatric Occupational TherapistGA006467GA

General Provider Information

NPI Number : 1518540749
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANNE DELA CRUZ
Provider Business Mailing Address
First Line : 4212 CORAL PARK DR
Second Line :
City : BRUNSWICK
State : GA
Zip : 31520-3016
Country : US
Telephone Number : 912-342-8875
Fax Number : 912-342-8016
Provider Business Practice Location Address
First Line : 1110 S PIERCE ST STE A
Second Line :
City : ALMA
State : GA
Zip : 31510-3718
Country : US
Telephone Number : 912-342-8875
Fax Number : 912-342-8016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2021
Last Update Date : 05/05/2021

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Directions to “ ARIANNE DELA CRUZ ” Practice Location

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