Provider Demographics
NPI:1528393121
Name:DAQUIGAN, MARIA ANA TECSON (PT, WCC, CLT)
Entity Type:Individual
Prefix:
First Name:MARIA ANA
Middle Name:TECSON
Last Name:DAQUIGAN
Suffix:
Gender:F
Credentials:PT, WCC, CLT
Other - Prefix:
Other - First Name:MARIA ANA
Other - Middle Name:T
Other - Last Name:TECSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, WCC, CLT
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:610-438-2024
Practice Address - Street 1:11500 FALLBROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4280
Practice Address - Country:US
Practice Address - Phone:281-894-5922
Practice Address - Fax:281-894-5922
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1123305225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist