RAFAEL CISNEROS

Physical Therapy Assistant

Active Individual
NPI: 1790343739

Practice Address

377 NW JASPER ST
Dallas, OR 97338

Phone: (913) 953-1220

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes CP000275A (OR)

Frequently Asked Questions

NPI 1790343739 is the National Provider Identifier for RAFAEL CISNEROS, a Physical Therapy Assistant provider located in Dallas, OR. This NPI was enumerated on June 4, 2019.
RAFAEL CISNEROS practices at 377 NW JASPER ST, Dallas, OR 97338.

Quick Facts

NPI
1790343739
Type
Individual
Enumerated
Jun 4, 2019
Last Updated
Jun 4, 2019

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