Individual
AL SIGUENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
444 FOUR STATES DR, STE 1, GALENA, KS 66739-4325
(620) 783-4441
(620) 783-4090
Mailing address
PO BOX 2546, JOPLIN, MO 64803-2546
(620) 783-4441
(620) 783-4090
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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