Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 030518 | NY |
N | 2251G0304X | Physical Therapist - Geriatrics | 030518 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 030518 | NY |
N | 2251S0007X | Physical Therapist - Sports | 030518 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 030518 | NY |
NPI | 1245539287 |
---|---|
Provider Name | Mr. Manuel Angel Arruffat |
First Address | Rochelle Park, NJ 07662-3510 |
Second Address | Rochelle Park, NJ 07662-3510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2011 |
Last Update Date | 16/03/2011 |