Cruce, Jennie Terasa

Cruce, Jennie Terasa is an individual health care provider with primary practice located at 587 Se Ermine Ave , Lake City FL 32025-6126. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cruce, Jennie Terasa can be contacted via phone (386) 754-1954.

Contact Information

Primary practice address
587 Se Ermine Ave Lake City FL 32025-6126
Phone: (386) 754-1954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 24744 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 60061386 Washington

Profile Details

NPI number 1063740967
LBN Legal business name Cruce, Jennie Terasa
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2009
Last updated Dec 3rd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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