Provider Demographics
NPI:1003094038
Name:CUENCA-TORRES, CATHERINE L (PT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:L
Last Name:CUENCA-TORRES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:L
Other - Last Name:CUENCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3569 DOMINION RDG
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-8144
Mailing Address - Country:US
Mailing Address - Phone:325-949-0514
Mailing Address - Fax:325-949-0514
Practice Address - Street 1:3569 DOMINION RDG
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-8144
Practice Address - Country:US
Practice Address - Phone:325-949-0514
Practice Address - Fax:325-949-0514
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1105955225100000X
NY0160311225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist