| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AIZA DELA CRUZ CLYDE | 1104425677 | 2020-10-25 |
Aiza Dela Cruz Clyde is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104425677. Registration indicates Aiza Dela Cruz Clyde is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapy Assistant (Occupational Therapy Assistant, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Aiza Dela Cruz Clyde COTA/L |
| Practice Office Address | 121 SW 96TH TER APT 205 PLANTATION, FL US |
| Practice Office Telephone | 8582485227 |
| Mailing Address | 121 SW 96TH TER APT 205 PLANTATION, FL 333242325 US |
| Business Telephone | 8582485227 |
| Code | Practice | License No State |
|---|---|---|
| 224Z00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant Occupational Therapy Assistant Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers | OTA17922
FL |