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Agnes Lucas Vigilia-maraya, PHYSICALTHERAPIST
Pediatric Physical Therapist in Fort Wayne, Indiana
NPI 1376760264

Agnes Lucas Vigilia-maraya is a Pediatric Physical Therapist based in Fort Wayne, IN and is specialized in Pediatrics. Agnes Lucas Vigilia-maraya practices in Fort Wayne, IN and has the professional credentials of PHYSICALTHERAPIST. The NPI Number for Agnes Lucas Vigilia-maraya is 1376760264 and holds a License No. PT05002613A (Indiana).

The current practice location address for Agnes Lucas Vigilia-maraya is 8110 Northbury Dr, Fort Wayne, IN and can be reached out via phone at 260-489-3704 and via fax at 260-489-3704. You can also correspond with Agnes Lucas Vigilia-maraya through the mailing address at 8110 NORTHBURY DR, FORT WAYNE, IN - 46818-1843 (mailing address contact number: 260-489-3704).

Location: 8110 Northbury Dr, Fort Wayne, IN, 46818-1843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376760264
Provider Name
Agnes Lucas Vigilia-maraya
Credential
PHYSICALTHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
8110 Northbury Dr, Fort Wayne, IN, 46818-1843
Phone Number
260-489-3704
Fax Number
260-489-3704
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8110 Northbury Dr
City
Fort Wayne
State
Indiana
Zip
46818-1843
Phone Number
260-489-3704
Fax Number
260-489-3704
person
Provider Business Mailing Address Details
Address
8110 Northbury Dr
City
Fort Wayne
State
Indiana
Zip
46818-1843
Phone Number
260-489-3704
Fax Number
260-489-3704
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT05002613A (Indiana)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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