Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 2469 | AK |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 2469 | AK |
N | 225XP0200X | Occupational Therapist - Pediatrics | 2469 | AK |
NPI | 1457553240 |
---|---|
Provider Name | Mrs. Laura Barnhill |
First Address | Eagle River, AK 99577-7751 |
Second Address | Eagle River, AK 99577-7751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 27/01/2015 |