Provider Demographics
NPI:1881996205
Name:ARNOLD, SARAH JANE (PT, DPT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23597 BRIGIN PL
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4810
Mailing Address - Country:US
Mailing Address - Phone:858-703-7479
Mailing Address - Fax:
Practice Address - Street 1:23110 ATLANTIC CIR STE D
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-5920
Practice Address - Country:US
Practice Address - Phone:951-379-1500
Practice Address - Fax:951-379-1501
Is Sole Proprietor?:No
Enumeration Date:2010-11-18
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT37335225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0342101OtherWA STATE DEPT OF LABOR AND INDUSTRIES
CACA206243Medicare PIN
CAEL648ZMedicare PIN
CACA206243Medicare PIN