# GINNISE ARLINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1497460802
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | CT | — |
| 335E00000X | Prosthetic/Orthotic Supplier | 1196158 | CT | Yes |

## Other

- **Enumeration date:** 01/19/2023
- **Last updated:** 01/19/2023
