Organization
MA. TERESA SISON ENCISO PT. PC. CORP
Active
Other names
Therapy Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MA. TERESA SISON ENCISO PT (PT DIRECTOR/PRESIDENT)
(573) 774-3684
Entity
Organization
Contact information
Practice address
124 ICHORD AVE, WAYNESVILLE, MO 65583-5406
(573) 774-3684
Mailing address
1207 STRATFORD LN, ROLLA, MO 65401-3838
(573) 774-3684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RO911
MO
Other
Enumeration date
09/04/2007
Last updated
04/30/2015
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