Provider Demographics
NPI:1649502378
Name:JAROPILLO, MAUREEN AIMEE TAN (PT)
Entity type:Individual
Prefix:
First Name:MAUREEN AIMEE
Middle Name:TAN
Last Name:JAROPILLO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 E LOCKHAVEN DR
Mailing Address - Street 2:APT. E
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-1787
Mailing Address - Country:US
Mailing Address - Phone:336-745-9896
Mailing Address - Fax:
Practice Address - Street 1:103 E LOCKHAVEN DR
Practice Address - Street 2:APT. E
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-1787
Practice Address - Country:US
Practice Address - Phone:336-745-9896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPT11827225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist