Provider Demographics
NPI:1336388644
Name:CAHIGAS, ETHELIND CACHO (PT)
Entity Type:Individual
Prefix:
First Name:ETHELIND
Middle Name:CACHO
Last Name:CAHIGAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 N PORTER ST APT B
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-2449
Mailing Address - Country:US
Mailing Address - Phone:408-394-9649
Mailing Address - Fax:
Practice Address - Street 1:529 N PORTER ST APT B
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-2449
Practice Address - Country:US
Practice Address - Phone:408-394-9649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ10002314225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist