Individual
MS. LEAH MARIE NAGUIT BENGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
901 E MORRIS BLVD, SUITE E, MORRISTOWN, TN 37813-2499
(423) 586-6866
(423) 581-9679
Mailing address
901 E MORRIS BLVD, MORRISTOWN, TN 37813-2499
(423) 586-6866
(423) 581-9679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6945
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1364074
CIGNA GROUP PROV.#
TN
01
—
4117977
BCBS /BC PROVIDER
TN
01
—
621773663
GROUP TAX ID
TN
01
—
7404443
AETNA GROUP PROV. #
TN
Enumeration date
06/20/2006
Last updated
04/22/2015
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