Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 2305207815 | VA |
Y | 225100000X | Physical Therapist | 293680 | CA |
N | 2251N0400X | Physical Therapist - Neurology | 2305207815 | VA |
N | 2251P0200X | Physical Therapist - Pediatrics | 2305207815 | VA |
N | 2251S0007X | Physical Therapist - Sports | 2305207815 | VA |
N | 2251X0800X | Physical Therapist - Orthopedic | 2305207815 | VA |
NPI | 1326387580 |
---|---|
Provider Name | Heather A Barnes |
First Address | Menlo Park, CA 94025-3653 |
Second Address | Menlo Park, CA 94025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2013 |
Last Update Date | 19/11/2018 |