Provider Demographics
NPI:1003241142
Name:DELROSARIO, ARLYN RODILLAS (ARLYN DEL ROSARIO)
Entity type:Individual
Prefix:
First Name:ARLYN
Middle Name:RODILLAS
Last Name:DELROSARIO
Suffix:
Gender:F
Credentials:ARLYN DEL ROSARIO
Other - Prefix:
Other - First Name:ARLYN
Other - Middle Name:
Other - Last Name:DEL ROSARIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARLYN DEL ROSARIO
Mailing Address - Street 1:34021 CHARLOTTE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-5761
Mailing Address - Country:US
Mailing Address - Phone:586-306-7408
Mailing Address - Fax:
Practice Address - Street 1:34021 CHARLOTTE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-5761
Practice Address - Country:US
Practice Address - Phone:586-306-7408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501004535225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist