Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | PT020751 | PA |
Y | 2251N0400X | Physical Therapist - Neurology | PT020751 | PA |
NPI | 1700295789 |
---|---|
Provider Name | Jo-Anne Delos Santos Arcilla |
First Address | Norristown, PA 19401-1820 |
Second Address | Norristown, PA 19401-1820 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2014 |
Last Update Date | 04/08/2014 |