Provider Demographics
NPI:1275087942
Name:ARRIGO, GABRIELLE ROSE (DPT)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:ROSE
Last Name: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 1:4910 TAMIAMI TRL N
Mailing Address - Street 2:TANGLEWOOD MARKET PLACE
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3068
Mailing Address - Country:US
Mailing Address - Phone:239-649-6699
Mailing Address - Fax:
Practice Address - Street 1:4910 TAMIAMI TRL N
Practice Address - Street 2:TANGLEWOOD MARKET PLACE
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3068
Practice Address - Country:US
Practice Address - Phone:239-649-6699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT31679225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCE32736HMedicaid