Doctor Name: | MICHAEL ARCIDIACONO |
NPI Number: | 1023476678 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, ATC |
License Number: | P16139 |
Business Practice Address: | 154 Amendment Ave Rock Hill, SC - 297323155 |
Business Phone Number: | 8033669990 |
Business Fax Number: | 8033669960 |
Mailing Address: | 10512 Park Rd, CHARLOTTE |
State: | NC |
Postal Code: | 282108475 |
Phone Number: | 8033669990 |
Fax Number: | 8033669960 |
NPI Enumeration Date: | 02/10/2016 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | P16139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |