Provider Demographics
NPI:1386123933
Name:CASIQUE, ROCIO DALILA (PTA)
Entity type:Individual
Prefix:
First Name:ROCIO
Middle Name:DALILA
Last Name:CASIQUE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:ROCIO
Other - Middle Name:DALILA
Other - Last Name:ZUNIGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:6100 BELL RD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-9565
Mailing Address - Country:US
Mailing Address - Phone:509-834-0178
Mailing Address - Fax:
Practice Address - Street 1:3801 SUMMITVIEW AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-2794
Practice Address - Country:US
Practice Address - Phone:509-965-5246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60838942225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant