Provider Demographics
NPI:1790488575
Name:ARLOTTA, SHELBY PAIGE
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:PAIGE
Last Name:ARLOTTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 EXECUTIVE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-4849
Mailing Address - Country:US
Mailing Address - Phone:561-697-5500
Mailing Address - Fax:
Practice Address - Street 1:14660 73RD ST N
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-4403
Practice Address - Country:US
Practice Address - Phone:561-281-5126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT23966225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist