Provider Demographics
NPI:1881017432
Name:ARNOLD, DANIEL CORDELL (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:CORDELL
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 WILTSEY RD SE APT 315
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-9631
Mailing Address - Country:US
Mailing Address - Phone:503-949-4111
Mailing Address - Fax:
Practice Address - Street 1:6250 COMMERCIAL ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97306-1333
Practice Address - Country:US
Practice Address - Phone:503-485-1666
Practice Address - Fax:503-581-6867
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR604762251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic