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MA TERESA ENCISO
124 ICHORD AVE WAYNESVILLE MO 655835406
MA TERESA ENCISO is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1871657916. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 9739103235. The primary specialty is PHYSICAL THERAPY. The organization is MA TERESA SISON ENCISO PT PC CORP. The address is 124 ICHORD AVE, , WAYNESVILLE, MO, 655835406. The zip code is 655835406.
|Nation Provider ID||1871657916|
|PAC ID by PECOS||9739103235|
|Professional Enrollment ID||I20060124000499|
|Name||MA TERESA ENCISO|
|Medical School Name||OTHER|
|Primary Specialty||PHYSICAL THERAPY|
|All secondary specialties|
|Organization Name||MA TERESA SISON ENCISO PT PC CORP|
|Group Practice PAC ID||7113941618|
|Number of Group Practice members||1|
|Address||124 ICHORD AVE, , WAYNESVILLE, MO, 655835406|
|Hospital affiliation LBN|