Provider Demographics
NPI:1740302223
Name:ARCIGA, PATRICIA (DPT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:ARCIGA
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 1:4050 AIRPORT CENTER DR STE D
Mailing Address - Street 2:SUITE D
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-1216
Mailing Address - Country:US
Mailing Address - Phone:760-325-5950
Mailing Address - Fax:
Practice Address - Street 1:4050 AIRPORT CENTER DR STE D
Practice Address - Street 2:SUITE D
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-1216
Practice Address - Country:US
Practice Address - Phone:760-325-5950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 25593225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT255931Medicare ID - Type Unspecified