Provider Demographics
NPI:1760645253
Name:ARRIGENNA, KRISTEN (DPT, ATC)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:ARRIGENNA
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 MOURNING DOVE LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-8517
Mailing Address - Country:US
Mailing Address - Phone:305-342-1122
Mailing Address - Fax:
Practice Address - Street 1:8087 NORMANDY BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32221-6646
Practice Address - Country:US
Practice Address - Phone:904-781-5666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24131225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist