MEDICARE: MR. JOSE ADOLFO ARROYO 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	1170770	TX

General Provider Information

NPI Number	:	1356537583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSE ADOLFO ARROYO PT

Provider Business Mailing Address
First Line	:	6322 SAINT TROPEZ ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-6111
Country	:	US
Telephone Number	:	361-944-6455
Fax Number	:	361-334-5370

Provider Business Practice Location Address
First Line	:	6322 SAINT TROPEZ ST
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-6111
Country	:	US
Telephone Number	:	361-944-6455
Fax Number	:	361-334-5370

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

Provider Enumeration Date	:	09/20/2007
Last Update Date	:	09/20/2007

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