Organization
BAUDENDISTEL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR WILLIAM BAUDENDISTEL PT, OCS, COMT (OWNER/PHYSICAL THERAPIST)
(916) 487-4681
Entity
Organization
Contact information
Practice address
3609 MISSION AVE STE C, CARMICHAEL, CA 95608-2955
(916) 487-4681
Mailing address
3609 MISSION AVE STE C, CARMICHAEL, CA 95608-2955
(916) 487-4681
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
22431
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571-11-5122
NPI
CA
Enumeration date
08/26/2014
Last updated
08/26/2014
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