Provider Demographics
NPI:1295080026
Name:DELA CRUZ, LAUREN ASHLEY (PT)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ASHLEY
Last Name:DELA CRUZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:ASHELY
Other - Last Name:ENGLEBRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5220 S UNIVERSITY DR # C209
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5317
Mailing Address - Country:US
Mailing Address - Phone:954-914-3044
Mailing Address - Fax:
Practice Address - Street 1:600 S PINE ISLAND RD STE 103
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3178
Practice Address - Country:US
Practice Address - Phone:954-474-2525
Practice Address - Fax:954-474-2588
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
FLPT27490225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist