RENZO DOMINIQUE SANTOS TANCHICO

BRONX, NY
NPI1437966348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  044080)
Enumeration Date2024-12-13
Last Update Date2024-12-13
Business Address
RENZO DOMINIQUE SANTOS TANCHICO DPT
1975 UNIVERSITY AVE
BRONX, NY 10453-4404
Phone number: 718-618-0052
Mailing Address
RENZO DOMINIQUE SANTOS TANCHICO DPT
26 MOLLY CT
ROSEVILLE, CA 95678-6027
Phone number: 916-284-4102