Individual
TALYA DANIELLE CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
26302 LA PAZ RD STE 105, MISSION VIEJO, CA 92691-5327
(949) 206-1700
Mailing address
21 PALAZZO, NEWPORT BEACH, CA 92660-9106
(949) 230-4993
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
04/03/2025
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