Provider Demographics
NPI:1598897902
Name:D'ARRIGO, CAROLINE (OT)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:D'ARRIGO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 LUZERNE STREET EXT
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-2934
Mailing Address - Country:US
Mailing Address - Phone:814-255-5378
Mailing Address - Fax:
Practice Address - Street 1:111 MARKET ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1608
Practice Address - Country:US
Practice Address - Phone:814-539-1919
Practice Address - Fax:814-539-1308
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC007045L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018896220008Medicaid