Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | ATP RET | FL |
N | 225CA2400X | Assistive Technology Practitioner | ATP RET | FL |
N | 225XE0001X | Environmental Modification | ATP RET | FL |
NPI | 1881836468 |
---|---|
Provider Name | Patricia Ann Barrett |
First Address | Tallahassee, FL 32309-6437 |
Second Address | Tallahassee, FL 32309-6437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2009 |
Last Update Date | 09/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6912702 79 | (05) | FL |
6912702 96 | (05) | FL |