MEDICARE: PATRICIA ELLEN ARNOTT PTA

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	225200000X	Physical Therapy Assistant	000930-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083913057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ELLEN ARNOTT PTA

Provider Business Mailing Address
First Line	:	34 MAPLE AVE
Second Line	:
City	:	ROCK TAVERN
State	:	NY
Zip	:	12575-5007
Country	:	US
Telephone Number	:	845-567-6787
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 MAPLE AVE.
Second Line	:
City	:	ROCK TAVERN
State	:	NY
Zip	:	12575
Country	:	US
Telephone Number	:	845-457-2400
Fax Number	:

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

Provider Enumeration Date	:	03/16/2011
Last Update Date	:	03/16/2011

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