Basic Information
Provider Information
NPI: 1275195745
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARNDTS
FirstName: EMILY
MiddleName:  
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Credential:  
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Mailing Information
Address1: 944 LORIMEL RD APT B
Address2:  
City: ELDERSBURG
State: MD
PostalCode: 217844905
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 9730 PATUXENT WOODS DR STE 100
Address2:  
City: COLUMBIA
State: MD
PostalCode: 210461626
CountryCode: US
TelephoneNumber: 4439239200
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/03/2019
LastUpdateDate: 07/03/2019
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X07800MDY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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