Individual
MRS. CINDY SAN ESTEBAN CECILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
410 GINGER BEND DR, APARTMENT 101, CHAMPAIGN, IL 61822-3567
(314) 225-4831
Mailing address
410 GINGER BEND DR, APARTMENT 101, CHAMPAIGN, IL 61822-3567
(314) 225-4831
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017598
IL
225100000X
Physical Therapist
11-04044
KS
225100000X
Physical Therapist
PT. 012715
OH
Other
Enumeration date
12/01/2009
Last updated
01/09/2014
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