Provider Demographics
NPI:1033637541
Name:ARJONA, BRIANNA BACHELLE (DPT)
Entity Type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:BACHELLE
Last Name:ARJONA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 MAIDEN LN RM 404
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4636
Mailing Address - Country:US
Mailing Address - Phone:917-455-4881
Mailing Address - Fax:
Practice Address - Street 1:75 MAIDEN LN RM 404
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4636
Practice Address - Country:US
Practice Address - Phone:917-455-4881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT872138208100000X
NJ40QA020133002081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation