Basic Information
Provider Information
NPI: 1659096907
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMENDARIZ
FirstName: ARIANNA
MiddleName:  
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Credential:  
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Mailing Information
Address1: 10439 CHAMBERS RD
Address2:  
City: COMMERCE CITY
State: CO
PostalCode: 800228929
CountryCode: US
TelephoneNumber: 1720625819
FaxNumber:  
Practice Location
Address1: 10439 CHAMBERS RD
Address2:  
City: COMMERCE CITY
State: CO
PostalCode: 800228929
CountryCode: US
TelephoneNumber: 7206258198
FaxNumber: 7207924514
Other Information
ProviderEnumerationDate: 10/10/2022
LastUpdateDate: 10/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 10/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPTL.0018686COY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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