Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT12503 | FL |
NPI | 1003057605 |
---|---|
Provider Name | Barbara Barnett |
First Address | Plantation, FL 33317-3354 |
Second Address | Plantation, FL 33317-3354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2009 |
Last Update Date | 12/03/2009 |