Provider Demographics
NPI:1578981973
Name:PAGSIBIGAN, STELLA MARIS BITUIN (PTA)
Entity Type:Individual
Prefix:MRS
First Name:STELLA MARIS
Middle Name:BITUIN
Last Name:PAGSIBIGAN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46555 HARRY BYRD HWY
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-3567
Mailing Address - Country:US
Mailing Address - Phone:703-421-6406
Mailing Address - Fax:
Practice Address - Street 1:46555 HARRY BYRD HWY
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-3567
Practice Address - Country:US
Practice Address - Phone:703-421-6406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306603746225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant