Provider Demographics
NPI:1386832426
Name:COLANTUONO, ARLENE TROY (PT)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:TROY
Last Name:COLANTUONO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 RED OAK DR
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-2827
Mailing Address - Country:US
Mailing Address - Phone:978-460-1738
Mailing Address - Fax:978-443-4080
Practice Address - Street 1:720 BOSTON POST RD E
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3766
Practice Address - Country:US
Practice Address - Phone:978-460-1738
Practice Address - Fax:978-443-4080
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2883225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist