Provider Demographics
NPI:1366136863
Name:ARNOLD, JANA (PT, DPT)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 987
Mailing Address - Street 2:
Mailing Address - City:MIDDLEFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44062-0987
Mailing Address - Country:US
Mailing Address - Phone:440-993-1004
Mailing Address - Fax:440-574-7254
Practice Address - Street 1:11850 MAYFIELD RD
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-8370
Practice Address - Country:US
Practice Address - Phone:440-286-1007
Practice Address - Fax:440-574-7254
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT018865225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPT018865OtherSTATE LICENSE NUMBER