Provider Demographics
NPI:1912249277
Name:ARELLANO, MARIA ROSALIA (MSPT, NCS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ROSALIA
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:MSPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6833 CLARA LEE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-1004
Mailing Address - Country:US
Mailing Address - Phone:619-916-6226
Mailing Address - Fax:
Practice Address - Street 1:6833 CLARA LEE AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-1004
Practice Address - Country:US
Practice Address - Phone:619-916-6226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26781225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist