Provider Demographics
NPI:1346841756
Name:ARNOLD, HANNAH BETH (COTA/L)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:BETH
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3475 HOLLIE HUTCHINSON RD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:TN
Mailing Address - Zip Code:38261-8419
Mailing Address - Country:US
Mailing Address - Phone:731-335-2250
Mailing Address - Fax:
Practice Address - Street 1:10 GARLAND DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3601
Practice Address - Country:US
Practice Address - Phone:731-664-3670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROT-A1658224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant