RAFAEL CISNEROS
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1790343739- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 377 NW JASPER ST, DALLAS, OR, 973381279
- Phone
- (913) 953-1220
Specialties & Taxonomies
Physical Therapy Assistant
License: MO #2018026092
Physical Therapy Assistant
Primary License: OR #CP000275A