Healthcare Provider Details

I. General information

NPI: 1184926958
Provider Name (Legal Business Name): MAGALY FIGUEROA LPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MAGGIE FIGUEROA

II. Dates (important events)

Enumeration Date: 11/29/2010
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31ST MEDICAL GROUP / SGST UNIT 6180
APO AE
09604
US

IV. Provider business mailing address

PSC 103 BOX 1519
APO AE
09603-0016
US

V. Phone/Fax

Practice location:
  • Phone: 314-632-5105
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA000516
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: