Healthcare Provider Details

I. General information

NPI: 1104294016
Provider Name (Legal Business Name): FAYE BARNHART MOT, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2015
Last Update Date: 09/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 S FRY RD
KATY TX
77450-6404
US

IV. Provider business mailing address

4418 TRAILWOOD DR
SUGAR LAND TX
77479-5153
US

V. Phone/Fax

Practice location:
  • Phone: 281-616-8075
  • Fax:
Mailing address:
  • Phone: 214-240-2549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number116542
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: