MEDICARE: MRS. OLGA J AROCHO PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	4025	VA

General Provider Information

NPI Number	:	1598787335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OLGA J AROCHO PT

Provider Business Mailing Address
First Line	:	807 S PARSONS AVE
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-6063
Country	:	US
Telephone Number	:	813-684-8041
Fax Number	:	813-689-1140

Provider Business Practice Location Address
First Line	:	807 S PARSONS AVE
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-6063
Country	:	US
Telephone Number	:	813-684-8041
Fax Number	:	813-689-1140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	11/07/2012

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