Provider Demographics
NPI:1518642768
Name:CABIGUEN, GIRLIE (DPT)
Entity Type:Individual
Prefix:MS
First Name:GIRLIE
Middle Name:
Last Name:CABIGUEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 HEATHERBROOKE LN
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-9702
Mailing Address - Country:US
Mailing Address - Phone:478-297-0923
Mailing Address - Fax:
Practice Address - Street 1:747 MONTICELLO HWY
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:GA
Practice Address - Zip Code:31032-3103
Practice Address - Country:US
Practice Address - Phone:478-986-3196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT010449225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist