Provider Demographics
NPI:1518146067
Name:LIBERTINO, ARLIN C (LPT)
Entity Type:Individual
Prefix:
First Name:ARLIN
Middle Name:C
Last Name:LIBERTINO
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:ARLIN
Other - Middle Name:R
Other - Last Name:COVERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3760 CONVOY ST STE 204
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-3744
Mailing Address - Country:US
Mailing Address - Phone:858-514-0375
Mailing Address - Fax:858-514-0383
Practice Address - Street 1:3760 CONVOY ST STE 204
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-3744
Practice Address - Country:US
Practice Address - Phone:858-514-0375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018541225100000X
CAPT292847225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist