Provider Demographics
NPI:1871929521
Name:JARMOLOWICZ, ARLENE KATHERINE (LMP,OT/L)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:KATHERINE
Last Name:JARMOLOWICZ
Suffix:
Gender:F
Credentials:LMP,OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 N. THORNTON ST.
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854
Mailing Address - Country:US
Mailing Address - Phone:208-262-8166
Mailing Address - Fax:208-262-8168
Practice Address - Street 1:640 N. THORNTON ST.
Practice Address - Street 2:
Practice Address - City:POST FALLS
Practice Address - State:ID
Practice Address - Zip Code:83854
Practice Address - Country:US
Practice Address - Phone:208-262-8166
Practice Address - Fax:208-262-8168
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60368180225700000X
IDMA5420225700000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist