MEDICARE: KRISTEN ARRIGENNA DPT, ATC

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	PT24131	FL

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	:	1760645253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN ARRIGENNA DPT, ATC

Provider Business Mailing Address
First Line	:	3411 MOURNING DOVE LN
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-8517
Country	:	US
Telephone Number	:	305-342-1122
Fax Number	:

Provider Business Practice Location Address
First Line	:	8087 NORMANDY BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32221-6646
Country	:	US
Telephone Number	:	904-781-5666
Fax Number	:

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

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	03/13/2014

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