Provider Demographics
NPI:1174284954
Name:D'ARRIGO, ANNA (DPT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:D'ARRIGO
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 1:12743 IRA STATION RD
Mailing Address - Street 2:
Mailing Address - City:MARTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13111-3204
Mailing Address - Country:US
Mailing Address - Phone:315-560-1925
Mailing Address - Fax:
Practice Address - Street 1:810 W GENESEE STREET RD
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152-9311
Practice Address - Country:US
Practice Address - Phone:315-291-7042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY225100000X
NY048251-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist