Provider Demographics
NPI:1477587475
Name:ARROYO, STEPHEN NICHOLAS (PT ATC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:NICHOLAS
Last Name:ARROYO
Suffix:
Gender:M
Credentials:PT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 923387
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30010
Mailing Address - Country:US
Mailing Address - Phone:678-584-1622
Mailing Address - Fax:678-584-1673
Practice Address - Street 1:10160 MEDLOCK BRIDGE RD
Practice Address - Street 2:STE B
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-4419
Practice Address - Country:US
Practice Address - Phone:678-584-1622
Practice Address - Fax:678-584-1673
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6497225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist