Individual
THERESA IRENE PLASENCIA
Active
Individual
THERESA IRENE PLASENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5930
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109313
HEALTHPARTNERS
MN
01
—
5606571
FIRST HEALTH
—
01
—
60M64PL
BLUECROSS AND BLUE SHIELD
MN
01
—
64-04673
MEDICA
MN
Enumeration date
03/14/2007
Last updated
04/19/2012
Update your record
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