Provider Demographics
NPI:1164698163
Name:CASILANG, GLADYS GAY ARLIGUE (PT)
Entity Type:Individual
Prefix:MRS
First Name:GLADYS GAY
Middle Name:ARLIGUE
Last Name:CASILANG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:GLADYS GAY
Other - Middle Name:PAZO
Other - Last Name:ARLIGUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2704 LEHR PL
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-2118
Mailing Address - Country:US
Mailing Address - Phone:618-303-9230
Mailing Address - Fax:
Practice Address - Street 1:1420 H ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5116
Practice Address - Country:US
Practice Address - Phone:661-868-7665
Practice Address - Fax:661-862-5052
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38358225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist