Provider Demographics
NPI:1417587338
Name:ARNOLD, JEFFREY W (MOT)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:W
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:MOT
Other - Prefix:
Other - First Name:JEFF
Other - Middle Name:W
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MOT
Mailing Address - Street 1:5 BROADVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1005
Mailing Address - Country:US
Mailing Address - Phone:805-748-5737
Mailing Address - Fax:
Practice Address - Street 1:2029 VILLAGE LN STE 207
Practice Address - Street 2:
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-2258
Practice Address - Country:US
Practice Address - Phone:805-686-4642
Practice Address - Fax:805-576-7961
Is Sole Proprietor?:No
Enumeration Date:2020-01-20
Last Update Date:2023-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13043225X00000X
CAOT22074225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist