Individual
MRS. MAUREEN PAGKALIWANGAN NATIVIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT017694
PA
225100000X
Physical Therapist
Primary
PT22274
MD
225100000X
Physical Therapist
PTL8903
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8903
PHYSICAL THERAPIST
CO
01
—
PT017694
PHYSICAL THERAPIST
PA
Enumeration date
05/29/2007
Last updated
02/19/2019
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