Individual provider · Type 1 NPI

Immanuel T. Cruz, OTR

Occupational Therapist · Stone Mountain, GA

NPI number 1780964387 Active

Practice location

2155 W Park Ct, Suite G
Stone Mountain, GA 30087-3500

Call (770) 465-5084 Map

Fax (770) 465-5304

Mailing address

475 Paper Mill Dr
Lawrenceville, GA 30046-3193

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT004739 (GA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1780964387

Immanuel T. Cruz, OTR's National Provider Identifier is 1780964387, issued on Aug 26, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Aug 26, 2011.