Individual
MR. REYNALDO CABANILLA CABARLO
Active
Individual
MR. REYNALDO CABANILLA CABARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1466
TN
225100000X
Physical Therapist
Primary
PT1466
TN
261QP2000X
Physical Therapy Clinic/Center
1466
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063840
BCBS
TN
05
—
4448120
—
TN
Enumeration date
12/19/2006
Last updated
12/10/2007
Update your record
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