Provider Demographics
NPI:1699245647
Name:OGERIO, ARNALDO (RPT)
Entity type:Individual
Prefix:MR
First Name:ARNALDO
Middle Name:
Last Name:OGERIO
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11215 ROZ WAY
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:FL
Mailing Address - Zip Code:34484-3498
Mailing Address - Country:US
Mailing Address - Phone:309-319-1370
Mailing Address - Fax:
Practice Address - Street 1:11215 ROZ WAY
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:FL
Practice Address - Zip Code:34484-3498
Practice Address - Country:US
Practice Address - Phone:309-319-1370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL31224225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist