Healthcare Provider Details
I. General information
NPI: 1801515903
Provider Name (Legal Business Name): JOCELYN BARNER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/23/2022
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5156 N BEND XING
CINCINNATI OH
45247-3106
US
IV. Provider business mailing address
5156 N BEND XING
CINCINNATI OH
45247-3106
US
V. Phone/Fax
- Phone: 513-496-1082
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2081S0010X |
| Taxonomy | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | PT019773 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: