Provider Demographics
NPI:1376708495
Name:ARNOLD, JOAN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-2466
Mailing Address - Country:US
Mailing Address - Phone:859-737-2063
Mailing Address - Fax:859-901-1186
Practice Address - Street 1:382 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-2466
Practice Address - Country:US
Practice Address - Phone:859-737-2063
Practice Address - Fax:859-901-1186
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR0194314000000X
IN31003093A314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility