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NPI Code Detail

MEDICARE: ARLENE F BUENVENIDA PT

MEDICARE: ARLENE F BUENVENIDA 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
1225100000XPhysical Therapist5501007485MI

General Provider Information

NPI Number : 1699902478
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLENE F BUENVENIDA PT
Provider Business Mailing Address
First Line : 710 NORTH AVE
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49017-3258
Country : US
Telephone Number : 269-788-3040
Fax Number : 269-788-3043
Provider Business Practice Location Address
First Line : 710 NORTH AVE
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49017-3258
Country : US
Telephone Number : 269-788-3040
Fax Number : 269-788-3043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2009
Last Update Date : 09/01/2009

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Directions to “ ARLENE F BUENVENIDA PT” Practice Location

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