Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 4944-024 | WI |
Y | 225XE1200X | Ergonomics | 4944-024 | WI |
NPI | 1871695981 |
---|---|
Provider Name | Ms. Pamela Stellene Barrett |
First Address | Madison, WI 53704-5641 |
Second Address | Madison, WI 53705-2254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 12/07/2007 |