Provider Demographics
NPI:1912383597
Name:ORCIGA, BAYANI-NEAL (DPT)
Entity Type:Individual
Prefix:DR
First Name:BAYANI-NEAL
Middle Name:
Last Name:ORCIGA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1685 WICOMICO LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-7866
Mailing Address - Country:US
Mailing Address - Phone:757-839-6957
Mailing Address - Fax:
Practice Address - Street 1:1685 WICOMICO LN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-7866
Practice Address - Country:US
Practice Address - Phone:757-839-6957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305209704225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist