Provider Demographics
NPI:1184964199
Name:BILBAO, CHRISTINEJOY CUNANAN (CEP)
Entity type:Individual
Prefix:
First Name:CHRISTINEJOY
Middle Name:CUNANAN
Last Name:BILBAO
Suffix:
Gender:F
Credentials:CEP
Other - Prefix:
Other - First Name:CHRISTINEJOY
Other - Middle Name:SOLIDUM
Other - Last Name:CUNANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CEP
Mailing Address - Street 1:9459 MORNINGSIDE LOOP UNIT A
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-4273
Mailing Address - Country:US
Mailing Address - Phone:907-306-3517
Mailing Address - Fax:
Practice Address - Street 1:4201 TUDOR CENTRE DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5904
Practice Address - Country:US
Practice Address - Phone:907-729-5642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007985225200000X
AKC153756224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant