Provider Demographics
NPI:1851742951
Name:MACARANIAG, CHRISTIAN PAOLO E (PT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTIAN PAOLO
Middle Name:E
Last Name:MACARANIAG
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11565 ROBINWOOD DR
Mailing Address - Street 2:APT 37
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-4480
Mailing Address - Country:US
Mailing Address - Phone:804-615-4013
Mailing Address - Fax:
Practice Address - Street 1:11565 ROBINWOOD DR
Practice Address - Street 2:APT 37
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-4480
Practice Address - Country:US
Practice Address - Phone:804-615-4013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25552225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist