Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1700X | Ocularist | 0.29 | OH |
NPI | 1629129432 |
---|---|
Provider Name | Mr. Theodore R Arlotto |
First Address | Parma Heights, OH 44130-4133 |
Second Address | Parma Heights, OH 44130-3074 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 04/10/2018 |