Provider Demographics
NPI:1700040508
Name:ARNADO, JAMIE LOUISE (OT)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LOUISE
Last Name:ARNADO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LOUISE
Other - Last Name:DANIELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:425 W BROADWAY
Mailing Address - Street 2:SUITE 112
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-4118
Mailing Address - Country:US
Mailing Address - Phone:818-240-0049
Mailing Address - Fax:818-240-0046
Practice Address - Street 1:425 W BROADWAY
Practice Address - Street 2:SUITE 112
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-4118
Practice Address - Country:US
Practice Address - Phone:818-240-0049
Practice Address - Fax:818-240-0046
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2242225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOT2242OtherLICENSE