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NPI Code Detail

MEDICARE: TY CHRISTIAN ARSENAULT PTA

MEDICARE: TY CHRISTIAN ARSENAULT PTA
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 AssistantPTA06340OH

General Provider Information

NPI Number : 1942430368
Entity Type Code : Individual
Provider Name (Legal Business Name) : TY CHRISTIAN ARSENAULT PTA
Provider Business Mailing Address
First Line : 2816 12TH ST
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44223-2210
Country : US
Telephone Number : 330-696-0749
Fax Number :
Provider Business Practice Location Address
First Line : 7201 WADE PARK AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-2765
Country : US
Telephone Number : 216-361-6141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2009
Last Update Date : 07/20/2009

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Directions to “ TY CHRISTIAN ARSENAULT PTA” Practice Location

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