MEDICARE: MR. DARREN ALAN ARNOLD 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	PT016863	PA

General Provider Information

NPI Number	:	1447294152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DARREN ALAN ARNOLD PT

Provider Business Mailing Address
First Line	:	2144 VANTINE ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-1138
Country	:	US
Telephone Number	:	412-401-3149
Fax Number	:

Provider Business Practice Location Address
First Line	:	962 BROOKLINE BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15226-2106
Country	:	US
Telephone Number	:	412-563-1076
Fax Number	:

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	07/08/2007

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