Provider Demographics
NPI:1982203451
Name:ARRIBA, OFELIA A (BSPT)
Entity Type:Individual
Prefix:
First Name:OFELIA
Middle Name:A
Last Name:ARRIBA
Suffix:
Gender:F
Credentials:BSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:784 WATERSCAPE CT
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-0016
Mailing Address - Country:US
Mailing Address - Phone:803-487-7088
Mailing Address - Fax:
Practice Address - Street 1:1915 EBENEZER RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1013
Practice Address - Country:US
Practice Address - Phone:803-366-8155
Practice Address - Fax:803-366-8158
Is Sole Proprietor?:No
Enumeration Date:2020-10-25
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2969225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist