MEDICARE: MR. DOUGLAS E ARNOLD PT ATC

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	2251X0800X	Orthopedic Physical Therapist	1296	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821096843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DOUGLAS E ARNOLD PT ATC

Provider Business Mailing Address
First Line	:	PO BOX 14547
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73113-0547
Country	:	US
Telephone Number	:	405-810-2902
Fax Number	:	405-810-2905

Provider Business Practice Location Address
First Line	:	6801 N CLASSEN BLVD
Second Line	:	SUITE B
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-7205
Country	:	US
Telephone Number	:	405-810-2902
Fax Number	:	405-810-2905

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/12/2011

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