Provider Demographics
NPI:1124262902
Name:ARNOLD, LORETTA AMOROSO (DPT)
Entity type:Individual
Prefix:
First Name:LORETTA
Middle Name:AMOROSO
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 BRIAR WOODS LN
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7244
Mailing Address - Country:US
Mailing Address - Phone:914-473-2916
Mailing Address - Fax:
Practice Address - Street 1:1103 BRIAR WOODS LN
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7244
Practice Address - Country:US
Practice Address - Phone:914-473-2916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023522-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics