Provider Demographics
NPI:1528224359
Name:CRUZ, MARIA M (OTR, CHT, CLT)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:M
Last Name:CRUZ
Suffix:
Gender:F
Credentials:OTR, CHT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1381 E RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-2016
Mailing Address - Country:US
Mailing Address - Phone:585-922-1700
Mailing Address - Fax:
Practice Address - Street 1:1381 E RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-2016
Practice Address - Country:US
Practice Address - Phone:585-922-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004101225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand