MEDICARE: CECILIA MARFIL CAINGLET PTA

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	225200000X	Physical Therapy Assistant	8986734	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538699731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILIA MARFIL CAINGLET PTA

Provider Business Mailing Address
First Line	:	1258 N COMMERCE DR APT I204
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-4749
Country	:	US
Telephone Number	:	917-659-9076
Fax Number	:

Provider Business Practice Location Address
First Line	:	1258 N COMMERCE DR APT I204
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-4749
Country	:	US
Telephone Number	:	917-659-9076
Fax Number	:

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

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	06/19/2017

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