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NPI Code Detail

MEDICARE: BRYNN E BARGA OT

MEDICARE: BRYNN E BARGA OT
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
1225X00000XOccupational TherapistOT.006270OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114911153
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYNN E BARGA OT
Provider Business Mailing Address
First Line : 3160 CENTRAL PARK W
Second Line :
City : TOLEDO
State : OH
Zip : 43617-1083
Country : US
Telephone Number : 419-841-1840
Fax Number : 419-841-1841
Provider Business Practice Location Address
First Line : 3160 CENTRAL PARK W
Second Line :
City : TOLEDO
State : OH
Zip : 43617-1083
Country : US
Telephone Number : 419-841-1840
Fax Number : 419-841-1841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 05/09/2008

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Directions to “ BRYNN E BARGA OT” Practice Location

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