Doctor Name: | HENRY CISNEROS |
NPI Number: | 1669830246 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT35279 |
Business Practice Address: | 1870 S Central St 203 Visalia, CA - 932774418 |
Business Phone Number: | 5596361200 |
Business Fax Number: | 5596361260 |
Mailing Address: | 4930 W Kaweah Ct Ste 203, VISALIA |
State: | CA |
Postal Code: | 932778316 |
Phone Number: | 5597136806 |
Fax Number: | 5597136809 |
NPI Enumeration Date: | 02/10/2016 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT35279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |