Provider Demographics
NPI:1750420642
Name:ANDO, ARTHUR D (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:D
Last Name:ANDO
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:6200 E CANYON RIM RD
Mailing Address - Street 2:SUITE 113E
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4317
Mailing Address - Country:US
Mailing Address - Phone:714-974-0330
Mailing Address - Fax:714-279-6771
Practice Address - Street 1:6200 E CANYON RIM RD
Practice Address - Street 2:SUITE 113E
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4317
Practice Address - Country:US
Practice Address - Phone:714-974-0330
Practice Address - Fax:714-279-6771
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA11412225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAR36117Medicare UPIN
CAWPT11412Medicare ID - Type Unspecified