Provider Demographics
NPI:1275782047
Name:TOLENTINO, ARLENE SUAREZ (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:SUAREZ
Last Name:TOLENTINO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18416 FAYSMITH AVE
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-5024
Mailing Address - Country:US
Mailing Address - Phone:310-525-8954
Mailing Address - Fax:310-525-8954
Practice Address - Street 1:8135 PAINTER AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3158
Practice Address - Country:US
Practice Address - Phone:310-525-8954
Practice Address - Fax:310-525-8954
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017883-1225100000X
CA39525225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist