Arlina Hernandez Anog-Noble

Individual provider Active NPI Physical Therapist · Winamac, IN

NPI 1497878797 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497878797
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05004043A (IN)
Practice address
840 E State Road 14
Winamac, IN 46996-7755
Phone
(574) 225-0682
Fax
(574) 946-4775
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
05004043AINMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05004043A IN Yes

Addresses

Primary practice location

840 E State Road 14
Winamac, IN 46996-7755

Mailing address

840 E State Road 14
Winamac, IN 46996-7755
Phone (574) 225-0682

Other providers in Winamac, IN

All providers in Winamac, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.