Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 0160311 | NY |
Y | 225100000X | Physical Therapist | 1105955 | TX |
NPI | 1003094038 |
---|---|
Provider Name | Mrs. Catherine L Cuenca-Torres |
First Address | San Angelo, TX 76904-8144 |
Second Address | San Angelo, TX 76904-8144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2008 |
Last Update Date | 31/01/2008 |