Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT.015039 | OH |
NPI | 1003215849 |
---|---|
Provider Name | Raina Nicole Barnett |
First Address | Dayton, OH 45415-2328 |
Second Address | Dayton, OH 45415-2328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2014 |
Last Update Date | 18/08/2014 |