MEDICARE: TAMMY ARNOLD

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
1	224Z00000X	Occupational Therapy Assistant	OTA16601	FL

General Provider Information

NPI Number	:	1801698071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY ARNOLD

Provider Business Mailing Address
First Line	:	4270 SW COUNTY ROAD 240
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32024-4916
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4270 SW COUNTY ROAD 240
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32024-4916
Country	:	US
Telephone Number	:	352-978-8617
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	03/26/2025

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Directions to “ TAMMY ARNOLD ” Practice Location

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