Provider Demographics
NPI:1396072823
Name:BRIZUELA, ARLENE (PT)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:BRIZUELA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ARLENE
Other - Middle Name:
Other - Last Name:PERPUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 OAKVIEW AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-2725
Mailing Address - Country:US
Mailing Address - Phone:516-439-1360
Mailing Address - Fax:
Practice Address - Street 1:601 CREEKSIDE XING STE 106
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4093
Practice Address - Country:US
Practice Address - Phone:210-804-5400
Practice Address - Fax:210-678-4142
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0304181-1171W00000X
TX1303213225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171W00000XOther Service ProvidersContractor