MEDICARE: MR. ERWIN VINCENT BERNALES PANALIGAN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	33803	CA

General Provider Information

NPI Number	:	1093980153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERWIN VINCENT BERNALES PANALIGAN PT

Provider Business Mailing Address
First Line	:	7160 DALLAS PKWY STE 400
Second Line	:	AEGIS THERAPIES
City	:	PLANO
State	:	TX
Zip	:	75024-7111
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7160 DALLAS PKWY STE 400
Second Line	:	AEGIS THERAPIES
City	:	PLANO
State	:	TX
Zip	:	75024-7111
Country	:	US
Telephone Number	:	877-877-9889
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	01/10/2015

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