Healthcare Provider Details

I. General information

NPI: 1114392636
Provider Name (Legal Business Name): ARANTZAZU GARATE CIOCE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARANTZAZU GARATE PT, DPT

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 10/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 N CENTRAL AVE STE 211
HARTSDALE NY
10530-1832
US

IV. Provider business mailing address

4 CHARLES PL
OLD TAPPAN NJ
07675-7247
US

V. Phone/Fax

Practice location:
  • Phone: 914-831-9575
  • Fax:
Mailing address:
  • Phone: 813-362-1306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4746
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number044997
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: