Basic Information
| Provider Information | |||||||||
| NPI: | 1881996205 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARNOLD | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | JANE | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 23597 BRIGIN PL | ||||||||
| Address2: | |||||||||
| City: | MURRIETA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925624810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8587037479 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 23110 ATLANTIC CIR STE D | ||||||||
| Address2: | |||||||||
| City: | MORENO VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925535920 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9513791500 | ||||||||
| FaxNumber: | 9513791501 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/18/2010 | ||||||||
| LastUpdateDate: | 01/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT37335 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 0342101 | 01 | CA | WA STATE DEPT OF LABOR AND INDUSTRIES | OTHER |