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Individual
EVELYNN CUENCO BANSIL
Active
Individual
EVELYNN CUENCO BANSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1200940
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200940
LICENSE
TX
01
—
PT 26665
FLORIDA BOARD OF PHYSICAL THERAPY
FL
Enumeration date
08/26/2011
Last updated
10/23/2016
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