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NPI Code Detail

MEDICARE: BAILY ELIZABETH BARNETT OTA

MEDICARE:   BAILY ELIZABETH BARNETT  OTA
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
1224Z00000XOccupational Therapy Assistant340213LA

General Provider Information

NPI Number : 1396507679
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILY ELIZABETH BARNETT OTA
Provider Business Mailing Address
First Line : 5445 HIGHWAY 2
Second Line :
City : OAK GROVE
State : LA
Zip : 71263-8365
Country : US
Telephone Number : 318-428-4025
Fax Number : 318-428-4796
Provider Business Practice Location Address
First Line : 5445 HIGHWAY 2
Second Line :
City : OAK GROVE
State : LA
Zip : 71263-8365
Country : US
Telephone Number : 318-428-4025
Fax Number : 318-428-4796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2024
Last Update Date : 01/23/2024

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Directions to “ BAILY ELIZABETH BARNETT OTA” Practice Location

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