Provider Demographics
NPI:1598989808
Name:MUNOZ, JANE DELA CRUZ (PT)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:DELA CRUZ
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16847 BENDING CREEK LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-6165
Mailing Address - Country:US
Mailing Address - Phone:713-493-1397
Mailing Address - Fax:
Practice Address - Street 1:16847 BENDING CREEK LN
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-6165
Practice Address - Country:US
Practice Address - Phone:713-493-1397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1151987225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist