Doctor Name: | MS. TESHA MARI BANAC CANSANCIO |
NPI Number: | 1104263854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1580 Sawgrass Corporate Pkwy Suite 100 Sunrise, FL - 333232859 |
Business Phone Number: | 9543324445 |
Business Fax Number: | 8664226431 |
Mailing Address: | 4001 N Pine Island Rd, The Shamrock Unit 304 Bldg. 4011 SUNRISE |
State: | FL |
Postal Code: | 333516520 |
Phone Number: | 9543932738 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2013 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |