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NPI Code Detail

MEDICARE: MRS. CARMEN BARCLAY P.T

MEDICARE:  MRS. CARMEN  BARCLAY  P.T
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
1225100000XPhysical Therapist7562TN

General Provider Information

NPI Number : 1952321408
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARMEN BARCLAY P.T
Provider Business Mailing Address
First Line : 306 E PADUCAH ST
Second Line :
City : SOUTH FULTON
State : TN
Zip : 38257-2466
Country : US
Telephone Number : 731-479-9055
Fax Number :
Provider Business Practice Location Address
First Line : 1720 E REELFOOT AVE
Second Line : SUITE 100
City : UNION CITY
State : TN
Zip : 38261-6047
Country : US
Telephone Number : 731-884-0744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. CARMEN BARCLAY P.T” Practice Location

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