Provider Demographics
NPI:1700492287
Name:ARNOLD, DARBY LD (OTR)
Entity Type:Individual
Prefix:
First Name:DARBY
Middle Name:LD
Last Name:ARNOLD
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 1:14061 HIGHWAY 71
Mailing Address - Street 2:
Mailing Address - City:FOUKE
Mailing Address - State:AR
Mailing Address - Zip Code:71837-9773
Mailing Address - Country:US
Mailing Address - Phone:318-402-8740
Mailing Address - Fax:
Practice Address - Street 1:14061 HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:FOUKE
Practice Address - State:AR
Practice Address - Zip Code:71837-9773
Practice Address - Country:US
Practice Address - Phone:318-402-8740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-19
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3393225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist