Rafael Cisneros

NPI #1790343739 in Dallas, Oregon

Provider Information

NPI Number
1790343739
Entity Type
Individual
Name
Rafael Cisneros
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Enumeration Date
Jun 4, 2019
Last Updated
Jun 4, 2019

Practice Location

Address
377 NW JASPER ST
City
Dallas
State
Oregon
ZIP Code
97338-1279
Phone
(913) 953-1220

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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