Provider Demographics
NPI:1942574116
Name:CABANGON, CHRISTIANNE (PT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIANNE
Middle Name:
Last Name:CABANGON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CHRISTIANNE
Other - Middle Name:
Other - Last Name:MAGISTRADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4863 SAINT BARNABAS RD
Mailing Address - Street 2:APT 7
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-4648
Mailing Address - Country:US
Mailing Address - Phone:240-330-3544
Mailing Address - Fax:
Practice Address - Street 1:4863 SAINT BARNABAS RD
Practice Address - Street 2:APT 7
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-4648
Practice Address - Country:US
Practice Address - Phone:240-330-3544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT870713225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist