Provider Demographics
NPI:1215272265
Name:SION, MAHARLIKA (PT)
Entity type:Individual
Prefix:
First Name:MAHARLIKA
Middle Name:
Last Name:SION
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 1:2063 DON PASCUAL LN
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-6447
Mailing Address - Country:US
Mailing Address - Phone:956-645-5268
Mailing Address - Fax:
Practice Address - Street 1:2063 DON PASCUAL LN
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6447
Practice Address - Country:US
Practice Address - Phone:956-645-5268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1116077225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist