Provider Demographics
NPI:1558061036
Name:FINNICUM, CRUZ (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CRUZ
Middle Name:
Last Name:FINNICUM
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SAND HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:DRUMS
Mailing Address - State:PA
Mailing Address - Zip Code:18222-2045
Mailing Address - Country:US
Mailing Address - Phone:570-328-2778
Mailing Address - Fax:
Practice Address - Street 1:16 SAND HOLLOW DR
Practice Address - Street 2:
Practice Address - City:DRUMS
Practice Address - State:PA
Practice Address - Zip Code:18222-2045
Practice Address - Country:US
Practice Address - Phone:570-328-2778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029529225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist