Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 3343 | NC |
NPI | 1003464579 |
---|---|
Provider Name | Jennifer Joy Barber |
First Address | Jamesville, NC 27846-9631 |
Second Address | Windsor, NC 27983-9663 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2019 |
Last Update Date | 28/08/2019 |