Provider Demographics
NPI:1831646876
Name:CEBALLO, ARLENE (PHYISICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:CEBALLO
Suffix:
Gender:F
Credentials:PHYISICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 38908
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-7618
Mailing Address - Country:US
Mailing Address - Phone:787-450-4927
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 38908
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-7618
Practice Address - Country:US
Practice Address - Phone:787-450-4927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR956261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy