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NPI Code Detail

MEDICARE: STEPHANIE ARNOLD O.T.

MEDICARE: STEPHANIE ARNOLD O.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0119003006VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10119003006OTHERVAVA LICENSE

General Provider Information

NPI Number : 1356384218
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE ARNOLD O.T.
Provider Business Mailing Address
First Line : 1010 W 45TH ST
Second Line :
City : RICHMOND
State : VA
Zip : 23225-4625
Country : US
Telephone Number : 804-291-1137
Fax Number :
Provider Business Practice Location Address
First Line : 2924 BROOK RD
Second Line :
City : RICHMOND
State : VA
Zip : 23220-1215
Country : US
Telephone Number : 804-291-1137
Fax Number : 804-228-5822
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 07/08/2007

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