Provider Demographics
NPI:1891965901
Name:ARTHUR, PAUL BRANDON (PHD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:BRANDON
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:PHD, OTR/L
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:2107A HEALTH PROFESSIONS BUILDING
Mailing Address - Street 2:BOX 100164
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0164
Mailing Address - Country:US
Mailing Address - Phone:317-688-8366
Mailing Address - Fax:317-688-8366
Practice Address - Street 1:20223 NW 175TH AVE
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32643-9426
Practice Address - Country:US
Practice Address - Phone:317-688-1499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT15162225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist