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NPI Code Detail

MEDICARE: MRS. ARLENE NMI POLIZZI LPTA

MEDICARE: MRS. ARLENE NMI POLIZZI LPTA
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
1225200000XPhysical Therapy Assistant2306000120VA

General Provider Information

NPI Number : 1598961286
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ARLENE NMI POLIZZI LPTA
Provider Business Mailing Address
First Line : 2401 JUSTICE WALK LN
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-2888
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3100 SHORE DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-1199
Country : US
Telephone Number : 757-496-1690
Fax Number : 757-496-1136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 07/08/2007

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