Provider Demographics
NPI:1326737925
Name:ARSOV, AIDA NORA (PTA)
Entity Type:Individual
Prefix:
First Name:AIDA
Middle Name:NORA
Last Name:ARSOV
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 HARBOUR CT UNIT 1A
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-5466
Mailing Address - Country:US
Mailing Address - Phone:630-359-1006
Mailing Address - Fax:
Practice Address - Street 1:525 HARVEST GATE
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156-4877
Practice Address - Country:US
Practice Address - Phone:847-957-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL000000000000225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant