Provider Demographics
NPI:1720150337
Name:HORST, ARLENE JOY (OTA)
Entity Type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:JOY
Last Name:HORST
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:MISS
Other - First Name:ARLENE
Other - Middle Name:JOY
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTA
Mailing Address - Street 1:19817 JEFFERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-4233
Mailing Address - Country:US
Mailing Address - Phone:301-791-1803
Mailing Address - Fax:
Practice Address - Street 1:331 S SETON AVE
Practice Address - Street 2:
Practice Address - City:EMMITSBURG
Practice Address - State:MD
Practice Address - Zip Code:21727-9226
Practice Address - Country:US
Practice Address - Phone:301-447-7022
Practice Address - Fax:301-447-7140
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00072224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant