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NPI Code Detail

MEDICARE: ARIANNA HERMOSILLO DPT

MEDICARE: ARIANNA HERMOSILLO DPT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1942141650
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANNA HERMOSILLO DPT
Provider Business Mailing Address
First Line : 5165 PARKHURST DR APT 2
Second Line :
City : SANTA ROSA
State : CA
Zip : 95409-3243
Country : US
Telephone Number : 619-253-7377
Fax Number :
Provider Business Practice Location Address
First Line : 1400 N DUTTON AVE STE 1
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-7120
Country : US
Telephone Number : 707-523-2848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ ARIANNA HERMOSILLO DPT” Practice Location

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