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NPI Code Detail

MEDICARE: LAUREN ARNOLD PTA

MEDICARE: LAUREN ARNOLD PTA
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
1225200000XPhysical Therapy AssistantPTA1068FL

General Provider Information

NPI Number : 1063545010
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN ARNOLD PTA
Provider Business Mailing Address
First Line : 394 N SUNCOAST BLVD
Second Line : SUITE 40
City : CRYSTAL RIVER
State : FL
Zip : 34429-5466
Country : US
Telephone Number : 352-795-6225
Fax Number : 352-795-6065
Provider Business Practice Location Address
First Line : 394 N SUNCOAST BLVD
Second Line : SUITE 40
City : CRYSTAL RIVER
State : FL
Zip : 34429-5466
Country : US
Telephone Number : 352-795-6225
Fax Number : 352-795-6065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/08/2007

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Directions to “ LAUREN ARNOLD PTA” Practice Location

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