Provider Demographics
NPI:1285867432
Name:ARNDT, PAULINE ANN (PT)
Entity Type:Individual
Prefix:MS
First Name:PAULINE
Middle Name:ANN
Last Name:ARNDT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 ELEANOR ST
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-2854
Mailing Address - Country:US
Mailing Address - Phone:509-453-8142
Mailing Address - Fax:
Practice Address - Street 1:2207 ELEANOR ST
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-2854
Practice Address - Country:US
Practice Address - Phone:509-453-8142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA704225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist