Provider Demographics
NPI:1093980153
Name:PANALIGAN, ERWIN VINCENT BERNALES (PT)
Entity Type:Individual
Prefix:MR
First Name:ERWIN VINCENT
Middle Name:BERNALES
Last Name:PANALIGAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7160 DALLAS PKWY STE 400
Mailing Address - Street 2:AEGIS THERAPIES
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7111
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7160 DALLAS PKWY STE 400
Practice Address - Street 2:AEGIS THERAPIES
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7111
Practice Address - Country:US
Practice Address - Phone:877-877-9889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2015-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33803225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist