Provider Demographics
NPI:1356474027
Name:CALAQUIAN, CECILIA GARCIA (PT)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:GARCIA
Last Name:CALAQUIAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 HAWKS RIDGE PT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7525
Mailing Address - Country:US
Mailing Address - Phone:407-574-8048
Mailing Address - Fax:407-574-3908
Practice Address - Street 1:3205 HAWKS RIDGE PT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7525
Practice Address - Country:US
Practice Address - Phone:407-574-8048
Practice Address - Fax:407-574-3908
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT13378225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist