Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 14684 | FL |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT 14684 | FL |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT 14684 | FL |
NPI | 1891081683 |
---|---|
Provider Name | Jamie L Barnhardt |
First Address | New Orleans, LA 70119-6012 |
Second Address | Stuart, FL 34994-4268 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2011 |
Last Update Date | 21/06/2011 |