Provider Demographics
NPI:1497362156
Name:ARBEENE, ANDREA K (LICENSED PT)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:K
Last Name:ARBEENE
Suffix:
Gender:F
Credentials:LICENSED PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 BENT OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-8061
Mailing Address - Country:US
Mailing Address - Phone:386-747-6619
Mailing Address - Fax:
Practice Address - Street 1:1445 BENT OAKS BLVD
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-8061
Practice Address - Country:US
Practice Address - Phone:386-747-6619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4686225100000X
CT12722225100000X
FLPT35570225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist