Provider Demographics
NPI:1295756997
Name:CUEVAS, MARIA BELLA RITA G (PT)
Entity type:Individual
Prefix:
First Name:MARIA BELLA RITA
Middle Name:G
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4000 MYSTIC LN
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-6515
Mailing Address - Country:US
Mailing Address - Phone:936-569-0314
Mailing Address - Fax:936-569-0314
Practice Address - Street 1:3205 N UNIVERSITY DR STE M
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-2683
Practice Address - Country:US
Practice Address - Phone:936-552-7044
Practice Address - Fax:936-552-7050
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1108322225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist