Provider Demographics
NPI:1023264116
Name:ADVINCULA, ARMI ARCETA (PTA)
Entity type:Individual
Prefix:MS
First Name:ARMI
Middle Name:ARCETA
Last Name:ADVINCULA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6178 CIVIC TERRACE AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-3835
Mailing Address - Country:US
Mailing Address - Phone:510-415-6056
Mailing Address - Fax:
Practice Address - Street 1:1717 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6756
Practice Address - Country:US
Practice Address - Phone:408-957-5718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT8159225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant