Basic Information
| Provider Information | |||||||||
| NPI: | 1811577216 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SOTO | ||||||||
| FirstName: | ARIELLE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14807 WILD IVY CT | ||||||||
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| City: | CYPRESS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774294581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8323961410 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2424 WILCREST DR STE 110 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770422772 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136668287 | ||||||||
| FaxNumber: | 7136608391 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2021 | ||||||||
| LastUpdateDate: | 04/09/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1333781 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.