Basic Information
Provider Information
NPI: 1023281748
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARBUTHNOT
FirstName: NOELLE
MiddleName: S
NamePrefix:  
NameSuffix:  
Credential: L/PTA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3113 DUNSTONE AVE
Address2:  
City: AKRON
State: OH
PostalCode: 443125918
CountryCode: US
TelephoneNumber: 3306452665
FaxNumber:  
Practice Location
Address1: 7235 WHIPPLE AVE NW
Address2:  
City: NORTH CANTON
State: OH
PostalCode: 447207137
CountryCode: US
TelephoneNumber: 3304988200
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/03/2008
LastUpdateDate: 04/03/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225200000XPT.03382OHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant 

No ID Information.


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