MEDICARE: LAURA ELIZABETH BARNEY

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
1	225200000X	Physical Therapy Assistant	3599	OK

General Provider Information

NPI Number	:	1275302572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA ELIZABETH BARNEY

Provider Business Mailing Address
First Line	:	816 NW 53RD ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-6011
Country	:	US
Telephone Number	:	713-670-4140
Fax Number	:

Provider Business Practice Location Address
First Line	:	6401 NW 39TH EXPY
Second Line	:
City	:	BETHANY
State	:	OK
Zip	:	73008-2868
Country	:	US
Telephone Number	:	405-981-4001
Fax Number	:	405-981-4002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2023
Last Update Date	:	12/29/2023

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Directions to “ LAURA ELIZABETH BARNEY ” Practice Location

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