Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 070-012910 | IL |
NPI | 1053519157 |
---|---|
Provider Name | Kathryn Marie Arnoldy |
First Address | Chicago, IL 60614-6055 |
Second Address | Chicago, IL 60614-6055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2007 |
Last Update Date | 17/08/2009 |