Provider Demographics
NPI:1245781475
Name:ARTHUR, ASIA RHE-EL (OTR)
Entity Type:Individual
Prefix:
First Name:ASIA
Middle Name:RHE-EL
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:DEMOTTE
Mailing Address - State:IN
Mailing Address - Zip Code:46310-8377
Mailing Address - Country:US
Mailing Address - Phone:219-987-9238
Mailing Address - Fax:
Practice Address - Street 1:221 WEST DIVISION RD.
Practice Address - Street 2:
Practice Address - City:DEMOTTE
Practice Address - State:IN
Practice Address - Zip Code:46310-8581
Practice Address - Country:US
Practice Address - Phone:219-987-9238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31005604A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist