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1104263854
TESHA MARI BANAC CANSANCIO
SUNRISE, FL
NPI
1104263854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2013-06-03
Last Update Date
2014-12-09
Business Address
Ms. TESHA MARI BANAC CANSANCIO
1580 SAWGRASS CORPORATE PKWY SUITE 100
SUNRISE, FL 33323-2859
Phone number: 954-332-4445
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Mailing Address
Ms. TESHA MARI BANAC CANSANCIO
4001 N PINE ISLAND RD THE SHAMROCK UNIT 304 BLDG. 4011
SUNRISE, FL 33351-6520
Phone number: 954-393-2738
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