Provider Demographics
NPI:1275575797
Name:CRUZ, DELICIA GONZALEZ (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:DELICIA
Middle Name:GONZALEZ
Last Name:CRUZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1616 DARTMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-6501
Mailing Address - Country:US
Mailing Address - Phone:407-552-9818
Mailing Address - Fax:407-552-9818
Practice Address - Street 1:324 W OAK ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4443
Practice Address - Country:US
Practice Address - Phone:407-343-9826
Practice Address - Fax:407-518-9369
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12010225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist