Individual
AL SIGUENZA
Active
Individual
AL SIGUENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
109150
MO
225100000X
Physical Therapist
Primary
1104036
KS
2251S0007X
Sports Physical Therapist
1104036
KS
Other
Enumeration date
05/19/2007
Last updated
12/30/2011
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