MEDICARE: EMILIO ARANDA DPT

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	CP018232T	OR
2	225100000X	Physical Therapist	1373739	TX

General Provider Information

NPI Number	:	1952008401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILIO ARANDA DPT

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	564 NE HIGHWAY 99W
Second Line	:
City	:	MCMINNVILLE
State	:	OR
Zip	:	97128-2707
Country	:	US
Telephone Number	:	503-472-0096
Fax Number	:	503-472-0097

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

Provider Enumeration Date	:	02/14/2023
Last Update Date	:	05/12/2023

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Directions to “ EMILIO ARANDA DPT” Practice Location

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