Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 000247 | MO |
N | 225XG0600X | Occupational Therapist - Gerontology | 000247 | MO |
NPI | 1801151550 |
---|---|
Provider Name | Prof. Karen Frank Barney |
First Address | Saint Louis, MO 63104-1111 |
Second Address | Saint Louis, MO 63104-1111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2012 |
Last Update Date | 09/07/2012 |