Provider Demographics
NPI:1053373647
Name:TOCA CRUZ, DAINA (OTR/L)
Entity type:Individual
Prefix:
First Name:DAINA
Middle Name:
Last Name:TOCA CRUZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 CIRCUIT RD
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-2606
Mailing Address - Country:US
Mailing Address - Phone:781-985-6943
Mailing Address - Fax:787-748-7191
Practice Address - Street 1:72 CIRCUIT RD
Practice Address - Street 2:PD-12 ENCANTADA
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-2606
Practice Address - Country:US
Practice Address - Phone:781-985-6943
Practice Address - Fax:787-748-7191
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR847208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9522OtherMA- OT LICENSED