Healthcare Provider Details

I. General information

NPI: 1881363299
Provider Name (Legal Business Name): KARA MARIE BARNARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 WHIPPLE AVE NW
CANTON OH
44708-1534
US

IV. Provider business mailing address

3428 W MARKET ST
FAIRLAWN OH
44333-3339
US

V. Phone/Fax

Practice location:
  • Phone: 330-477-5200
  • Fax:
Mailing address:
  • Phone: 330-668-4041
  • Fax: 330-666-5626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA007918
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: