Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 30076 | FL |
NPI | 1003207325 |
---|---|
Provider Name | Talia Arndt |
First Address | New Port Richey, FL 34655-5363 |
Second Address | New Port Richey, FL 34655-5363 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2015 |
Last Update Date | 09/02/2015 |