Provider Demographics
NPI:1710608872
Name:HOJATIZADEH, ARASH CIRRUS (DPT)
Entity Type:Individual
Prefix:
First Name:ARASH
Middle Name:CIRRUS
Last Name:HOJATIZADEH
Suffix:
Gender:M
Credentials:DPT
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 871
Mailing Address - Street 2:
Mailing Address - City:TONTITOWN
Mailing Address - State:AR
Mailing Address - Zip Code:72770-0871
Mailing Address - Country:US
Mailing Address - Phone:479-444-6277
Mailing Address - Fax:479-444-6278
Practice Address - Street 1:3061 N MARKET AVE STE 4
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-3561
Practice Address - Country:US
Practice Address - Phone:479-444-6277
Practice Address - Fax:479-444-6278
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR5152225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist