Individual
MR. ARTHUR WILLIAM BAUDENDISTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DCS, COMT
Contact information
Practice address
3609 MISSION AVE, STE C, CARMICHAEL, CA 95608-2955
(916) 487-4681
(916) 487-4687
Mailing address
3609 MISSION AVE, STE C, CARMICHAEL, CA 95608-2955
(916) 487-4681
(916) 487-4687
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
CZ11226
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0419075
EMP ID
—
01
—
CA-11226
LICENSE #
CA
Enumeration date
07/13/2005
Last updated
05/20/2008
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