Cruz, Kenneth Mark Niedo

Cruz, Kenneth Mark Niedo is an sole proprietor health care provider with primary practice located at 1000 N Central Ave Ste 110 , Glendale CA 91202-3685. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Cruz, Kenneth Mark Niedo can be contacted via phone (818) 243-8422.

Contact Information

Primary practice address
1000 N Central Ave Ste 110 Glendale CA 91202-3685
Phone: (818) 243-8422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 49797 California

Profile Details

NPI number 1184219891
LBN Legal business name Cruz, Kenneth Mark Niedo
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2021
Last updated Mar 4th, 2021 - about 5 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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