Provider Demographics
NPI:1497706444
Name:BIGLANG-AWA, ARIES
Entity Type:Individual
Prefix:MR
First Name:ARIES
Middle Name:
Last Name:BIGLANG-AWA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47804-2706
Mailing Address - Country:US
Mailing Address - Phone:812-238-7210
Mailing Address - Fax:812-238-7210
Practice Address - Street 1:1606 NORTH 7TH ST.
Practice Address - Street 2:
Practice Address - City:TERE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47804-6273
Practice Address - Country:US
Practice Address - Phone:812-238-7210
Practice Address - Fax:812-242-3070
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11910225100000X
IN05003860A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist