Tammy Arnold

Individual provider Active NPI Occupational Therapy Assistant · Lake City, FL

NPI 1801698071 · NPPES record last updated Mar 26, 2025

Key facts

NPI
1801698071
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA16601 (FL)
Practice address
4270 SW County Road 240
Lake City, FL 32024-4916
Phone
(352) 978-8617
NPI assigned
Mar 26, 2025
Sex
Female
Sole proprietor
Yes

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
OTA16601FLMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA16601 FL Yes

Addresses

Primary practice location

4270 SW County Road 240
Lake City, FL 32024-4916

Mailing address

4270 SW County Road 240
Lake City, FL 32024-4916

Other providers in Lake City, FL

All providers in Lake City, FL · Occupational Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.