Provider Demographics
NPI:1245512136
Name:PINON, MARIA CIRILLE AVILA (PT)
Entity type:Individual
Prefix:MISS
First Name:MARIA CIRILLE
Middle Name:AVILA
Last Name:PINON
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7231 EAGLEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-5984
Mailing Address - Country:US
Mailing Address - Phone:718-408-0241
Mailing Address - Fax:
Practice Address - Street 1:7231 EAGLEFIELD DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-5984
Practice Address - Country:US
Practice Address - Phone:718-408-0241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032096225100000X
WA00010789225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist