Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 1413 | MD |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1413 | MD |
NPI | 1730113002 |
---|---|
Provider Name | Patricia Anne Barnes |
First Address | Baltimore, MD 21228-4334 |
Second Address | Baltimore, MD 21228-4334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |