Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 023522-1 | NY |
NPI | 1124262902 |
---|---|
Provider Name | Loretta Amoroso Arnold |
First Address | Danbury, CT 06810-7244 |
Second Address | Danbury, CT 06810-7244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2009 |
Last Update Date | 26/09/2012 |