Provider Demographics
NPI:1528374592
Name:ARORA, ARCHANA M (MPT)
Entity Type:Individual
Prefix:MRS
First Name:ARCHANA
Middle Name:M
Last Name:ARORA
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3598 JUSTIN DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-3600
Mailing Address - Country:US
Mailing Address - Phone:727-944-3481
Mailing Address - Fax:
Practice Address - Street 1:3598 JUSTIN DR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-3600
Practice Address - Country:US
Practice Address - Phone:727-944-3481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19555225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist