Tyrus Gilbert Arnold Jr.
Specialist/Technologist, Athletic Trainer in Lake Mary, FL. Individual provider (NPI-1).
NPI number1952091977
StatusActive
Last updated in NPPESMay 12, 2023
Details
- NPI
- 1952091977
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tyrus Gilbert Arnold Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2023
- Certification date
- May 12, 2023
- Last updated
- May 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
110 Willow DrLake Mary, FL 32746-3688
Phone 407-506-5969
Mailing address
110 Willow DrLake Mary, FL 32746-3688
Phone 407-506-5969
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