Provider Demographics
NPI:1952515470
Name:ARNOLD, AMY ROZETTA (PT, CLT)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:ROZETTA
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 N BLUE HERON DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-8014
Mailing Address - Country:US
Mailing Address - Phone:850-865-4617
Mailing Address - Fax:
Practice Address - Street 1:7720 U.S. HIGHWAY 98 W
Practice Address - Street 2:SUITE 220
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-4283
Practice Address - Country:US
Practice Address - Phone:850-622-5192
Practice Address - Fax:850-622-5196
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25464225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist