Basic Information
| Provider Information | |||||||||
| NPI: | 1992975114 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARNOLD | ||||||||
| FirstName: | JANEEN | ||||||||
| MiddleName: | SUZETTE | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 710 NW JUNIPER ST | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | ISSAQUAH | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980272717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4253927989 | ||||||||
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| Practice Location | |||||||||
| Address1: | 710 NW JUNIPER ST | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | ISSAQUAH | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980272717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4253927989 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/04/2008 | ||||||||
| LastUpdateDate: | 03/04/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT00008230 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.