Individual
MARY TERESE ARNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
661 N MEADOW LARK LN, BLOOMINGTON, IN 47408-2731
(812) 327-1887
Mailing address
661 N MEADOW LARK LN, BLOOMINGTON, IN 47408-2731
(812) 334-3540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001121A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200612120
—
IN
05
—
200710840A
—
IN
Enumeration date
04/12/2007
Last updated
07/09/2007
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