Mr Glen Gomez Cruz, PT - Physical Therapist in Lawrenceville, GA

Mr Glen Gomez Cruz, PT is a Physical Therapist based in Lawrenceville, Georgia. Mr Glen Gomez Cruz is licensed to practice in Georgia (license number PT008454) and his current practice location is 3100 Club Dr, Lawrenceville, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 923-3100.

NPI number for Mr Glen Gomez Cruz is 1164696894 and his current mailing address is 3605 Gainesway Ct, Duluth, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164696894.

Contact Information

Mr Glen Gomez Cruz, PT
3100 Club Dr,
Lawrenceville, GA 30044-2591
(770) 923-3100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Glen Gomez Cruz
GenderMale
SpecialityPhysical Therapist
Location3100 Club Dr, Lawrenceville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164696894
  • Provider Enumeration Date: 04/14/2008
  • Last Update Date: 04/14/2008

Medical Identifiers

Medical identifiers for Mr Glen Gomez Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164696894NPI-NPPES
PT008454OtherGASTATE OF GEORGIA PT BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT008454 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Glen Gomez Cruz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Glen Gomez Cruz, PT
3605 Gainesway Ct,
Duluth, GA 30096-1738

Ph: (678) 468-7703
Mr Glen Gomez Cruz, PT
3100 Club Dr,
Lawrenceville, GA 30044-2591

Ph: (770) 923-3100

Reviews and Comments


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