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NPI Code Detail

MEDICARE: BARBARA NICOLE SMITH OTR/L

MEDICARE: BARBARA NICOLE SMITH OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistOT008811GA

General Provider Information

NPI Number : 1861323313
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA NICOLE SMITH OTR/L
Provider Business Mailing Address
First Line : 5 PINE VIEW CT
Second Line :
City : JASPER
State : GA
Zip : 30143-4056
Country : US
Telephone Number : 678-630-9379
Fax Number :
Provider Business Practice Location Address
First Line : 9880 HICKORY FLAT HWY
Second Line :
City : WOODSTOCK
State : GA
Zip : 30188-3081
Country : US
Telephone Number : 770-687-2542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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