Healthcare Provider Details

I. General information

NPI: 1295083046
Provider Name (Legal Business Name): LAUREN E. ARCIBAL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2012
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 WILLIMANSETT ST
SOUTH HADLEY MA
01075
US

IV. Provider business mailing address

2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE IL
60515-1211
US

V. Phone/Fax

Practice location:
  • Phone: 413-533-8501
  • Fax: 413-533-8502
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number20165
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: