Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. IMMANUEL T CRUZ, OTR

Active Sole Proprietor

MR. IMMANUEL T CRUZ, OTR is a Occupational Therapist healthcare provider located in STONE MOUNTAIN, Georgia. NPI 1780964387 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · STONE MOUNTAIN, GA

Registration Details

NPI Number: 1780964387
Provider Type: Individual
Gender: Male
NPI Issued: Aug 26, 2011 (14.95899788532 yrs)
Last Updated: Aug 26, 2011
License: OT004739 (GA)
Sole Proprietor: Yes

Practice Information

Address: 2155 W PARK CT

SUITE G

STONE MOUNTAIN, GA, 300873500
Browse GA providers · Browse ZIP 30087
Phone: 7704655084
Fax: 7704655304
Primary Specialty: Occupational Therapist
225X00000X

Other Occupational Therapist Providers in STONE MOUNTAIN, GA

Name	Credential	NPI
MRS. JENNIFER BLACKSTONE	OTR/L	1669400917
MRS. MELANIE D EARLES	OTR	1194829358
MISS SHARLA M PALMER	OTR	1104915446
MRS. JEROLYN N REDSTROM	OTR	1285723528
MS. GRETCHEN A VANDEWATER	OTR/L	1609996750
MS. JACQUELINE A GROCE	OTR	1669595708

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.