Individual
MARTA ELENA CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
112 CENISO LOOP, LAREDO, TX 78046-7701
(956) 774-5076
Mailing address
112 CENISO LOOP, LAREDO, TX 78046-7701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2148263
TX
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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