MEDICARE: SUSANA ARCIGA 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	5053024	WI

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	:	1730128497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSANA ARCIGA PT

Provider Business Mailing Address
First Line	:	604 N 16TH ST
Second Line	:	ROOM 215
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-2117
Country	:	US
Telephone Number	:	414-288-1400
Fax Number	:	414-288-6079

Provider Business Practice Location Address
First Line	:	604 N 16TH ST
Second Line	:	ROOM 215
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-2117
Country	:	US
Telephone Number	:	414-288-1400
Fax Number	:	414-288-6079

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	07/21/2022

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Directions to “ SUSANA ARCIGA PT” Practice Location

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