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NPI Code Detail

MEDICARE: ANNA ARENDT

MEDICARE: ANNA ARENDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2111525TX

General Provider Information

NPI Number : 1538644877
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA ARENDT
Provider Business Mailing Address
First Line : 2405 TAYLOR ST APT 10205
Second Line :
City : DALLAS
State : TX
Zip : 75201-5936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1010 EMERALD ISLE DR
Second Line :
City : DALLAS
State : TX
Zip : 75218-3980
Country : US
Telephone Number : 214-328-4161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2018
Last Update Date : 10/02/2018

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Directions to “ ANNA ARENDT ” Practice Location

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