Provider Demographics
NPI:1780184887
Name:SASEDOR, CYNTHIA RAMA (PT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:RAMA
Last Name:SASEDOR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7713 SAN JACINTO PL STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3378
Mailing Address - Country:US
Mailing Address - Phone:972-618-9900
Mailing Address - Fax:
Practice Address - Street 1:7713 SAN JACINTO PL STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3378
Practice Address - Country:US
Practice Address - Phone:972-618-9900
Practice Address - Fax:972-618-9909
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1084259225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist