Provider Demographics
NPI:1053535716
Name:ARROYO, GINA MARIE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:GINA
Middle Name:MARIE
Last Name:ARROYO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5242 ANGOLA RD
Mailing Address - Street 2:#140
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-6352
Mailing Address - Country:US
Mailing Address - Phone:419-531-2500
Mailing Address - Fax:419-531-2510
Practice Address - Street 1:5242 ANGOLA RD
Practice Address - Street 2:#140
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-6352
Practice Address - Country:US
Practice Address - Phone:419-531-2500
Practice Address - Fax:419-531-2510
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4817879171WH0202X
OHOT.007182225X00000X, 225XE0001X, 225XE1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No171WH0202XOther Service ProvidersContractorHome Modifications
No225XE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistEnvironmental Modification
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2899672Medicaid
OH2899672Medicaid