Evan Arnold, OT

Individual provider Active NPI Occupational Therapist · Fairfield, IA

NPI 1750153433 · NPPES record last updated Oct 25, 2023

Key facts

NPI
1750153433
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
098200 (IA)
Practice address
2000 S Main St
Fairfield, IA 52556-9572
Phone
(641) 469-4354
NPI assigned
Oct 25, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
098200IAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 098200 IA Yes

Addresses

Primary practice location

2000 S Main St
Fairfield, IA 52556-9572

Mailing address

906 S 2ND St
Fairfield, IA 52556-3901
Phone (815) 291-8988

Other providers in Fairfield, IA

All providers in Fairfield, IA · Occupational Therapist in Iowa

Sources for this page

Verify at the official NPI Registry.