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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 ID1871657916
PAC ID by PECOS9739103235
Professional Enrollment IDI20060124000499
NameMA TERESA ENCISO
Medical School NameOTHER
Graduation Year1978
Primary SpecialtyPHYSICAL THERAPY
All secondary specialties
Organization NameMA TERESA SISON ENCISO PT PC CORP
Group Practice PAC ID7113941618
Number of Group Practice members1
Address124 ICHORD AVE, , WAYNESVILLE, MO, 655835406
Hospital affiliation LBN
Graduation Year1978
Contact Number5737743684
Email Address[Show_Email_ID]

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