Healthcare Provider Details

I. General information

NPI: 1982161733
Provider Name (Legal Business Name): BARBARA FINCH, MOT, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2019
Last Update Date: 07/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20400 10TH STREET UNIT 1
MCINTOSH FL
32664-3266
US

IV. Provider business mailing address

PO BOX 500
MC INTOSH FL
32664-0500
US

V. Phone/Fax

Practice location:
  • Phone: 352-642-2190
  • Fax:
Mailing address:
  • Phone: 352-642-2190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARBARA ELDER FINCH
Title or Position: PRESIDENT/OCCUPATIONAL THERAPIST
Credential:
Phone: 352-642-2190